Risk Adjustment Healthcare Business Consultant Sr

Elevance Health

257d • $96,480 - $173,664

About The Position

The Risk Adjustment Healthcare Business Consultant Sr is responsible for translating highly complex and varied business needs into application software requirements. These needs typically involve significant expenditure or cost savings and impact a wide range of functions. The role also provides expertise to lower-level consultants.

Requirements

• BA/BS degree.
• Minimum of 10 years business analysis experience, including analysis, project management, and working knowledge of mainframe computer, hardware, and operating systems.
• Minimum of 3 years' experience as a Business Consultant with project management skills.

Nice To Haves

• Working knowledge of Medicaid.
• Healthcare business knowledge related to Risk Adjustment Payment Methodology.
• Advanced skills in Microsoft Office Suite, especially Excel and PowerPoint.
• Proficiency with Business Intelligence software like Tableau and Power BI.
• Experience with relational databases and knowledge of query tools such as SQL, SAS, Teradata.
• Strong analytical, organizational, presentation, communication, and problem-solving skills.
• Proven track record of successfully implementing solutions that led to measurable improvements.
• Ability to interpret and analyze complex data and translate it into actionable information.

Responsibilities

• Consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs.
• Provide expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting those needs.
• Determine specific business application software requirements to address complex business needs.
• Lead teams of analysts assigned to the most complex projects, typically those of highest importance and impact.
• Analyze and design solutions to address varied and highly complex business needs.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution.
• Paid Time Off.
• Medical, dental, and vision benefits.
• Short and long term disability benefits.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree