Elevance Health-posted 5 days ago
Full-time • Mid Level
Hybrid • Richmond, VA
5,001-10,000 employees

Business Consultant – Payment Integrity Datamining Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Business Consultant will be responsible for translating moderately complex and varied business needs into application requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments. How you will make an impact: Will functions at a strategic level, supporting leadership as a chief-of-staff–style advisor Will ensure quality governance, evaluate high-complexity concepts, mentor, analyze and lead May lead teams of analysts assigned to complex projects Determines specific business application software requirements to address complex and varied business needs Analyzes and designs solutions to address complex and varied business needs Consults with business partners concerning application and implementation of technology Evaluate and translate business needs Design business/technology solutions Advise partners on system enhancements Validate complex concepts/work products

  • Functions at a strategic level, supporting leadership as a chief-of-staff–style advisor
  • Ensure quality governance, evaluate high-complexity concepts, mentor, analyze and lead
  • May lead teams of analysts assigned to complex projects
  • Determines specific business application software requirements to address complex and varied business needs
  • Analyzes and designs solutions to address complex and varied business needs
  • Consults with business partners concerning application and implementation of technology
  • Evaluate and translate business needs
  • Design business/technology solutions
  • Advise partners on system enhancements
  • Validate complex concepts/work products
  • Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background.
  • Demonstrates a strong ability to set a clear vision and strategy that effectively guides teams towards achieving organizational goals highly preferred.
  • Extensive experience in quality assurance governance and data loss prevention, ensuring compliance with internal and external standards highly desired.
  • Possesses exceptional analytical skills to solve complex problems, make data-driven decisions, and derive actionable insights desired.
  • Excellent communication skills, capable of influencing and collaborating effectively with stakeholders at all levels to drive initiatives forward desired.
  • Thrives in uncertain or evolving environments with the capability to navigate and manage projects where guidelines and outcomes are not clearly defined desired.
  • Embodies team values of transparency, adaptability, and maintaining a feedback-positive mindset to contribute positively to team dynamics and growth desired.
  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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