Financial Operation Analyst Lead - Payment Integrity Datamining

Elevance Health • Richmond, VA

11d • Hybrid

About The Position

Financial Operations Analyst Lead – 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 Financial Operations Analyst Lead will be responsible for analyzing data and providing new processes, system enhancements and technical solutions to complex business issues. Leads and coaches staff. Manages workflow and oversees day-to-day department responsibilities. May conduct operational meetings with staff. Assists management in establishing work goals. Prepares management reports and may do budget variance.

Requirements

• Requires a BA/BS in accounting or finance and a minimum of 5 years experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Demonstrates a strong ability to set and execute a vision that aligns with organizational goals strongly preferred.
• Experience in implementing quality assurance and data loss prevention measures to ensure compliance preferred.
• Exceptional skills in data analysis to solve complex problems and provide actionable insights strongly preferred .
• Proven ability to effectively communicate and influence stakeholders at all levels preferred.
• Experience navigating and managing projects with unclear guidelines or outcomes preferred .
• Shows a commitment to transparency, adaptability, and a feedback-positive mindset within team dynamics desired.

Responsibilities

• Develops and executes complex data analysis
• Develops strategic report applications from Finance systems
• Writes queries and macros to enhance access databases and builds new databases in support of accurate balance sheet/P&L reporting
• Provides decision support and procedural input to ensure that processing efficiency does not compromise internal control mechanisms
• Interfaces with IT as needed and documents and tracks any needed system enhancements with IT management
• Documents and responds to any external audit requests
• Assists in the implementation of software releases within the Finance organization
• Ensures proper conversion or shutdown of legacy systems by developing and documenting enterprise solutions for successful transition to core processing systems
• Has technical and operational expertise
• Can commit department to deliverables on own initiative
• Uses discretion in making independent decisions

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees