Veterans Staffing
Business Consultant
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. The Business Consultant is responsible for collaborating with our data science team to develop machine learning models and data mining queries with the purpose of identifying overpayment opportunities that will contribute to cost of care savings and total program savings. How You Will Make an Impact: 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. Determines the continuous improvement opportunities of current predictive modeling algorithms. Determines how decision support systems will provide the data required to make effective business decisions. Collaborate on automation to validate claims overpayment. Performs analyses of structured and unstructured data to solve multiple and/or complex business problems, utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry. Collaborates with data science providing guidance on overpayment model development. Minimum Requirements: 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. Preferred Skills, Capabilities, and Experiences: Experience working with large datasets highly preferred. PC, spreadsheet, and database skills is highly preferred. Project Management experience highly preferred. Complex data mining analysis and coordinating the activities of a project team experience highly preferred. Claims analysis experience highly preferred. Strong understanding of excel scrubbing/formulas highly preferred. Coding skills combined with a business background; preferred. Locations: California, Colorado, Nevada, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. Elevance Health is a health company dedicated to improving lives and communities
and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs, 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. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact support@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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. The Business Consultant is responsible for collaborating with our data science team to develop machine learning models and data mining queries with the purpose of identifying overpayment opportunities that will contribute to cost of care savings and total program savings. How You Will Make an Impact: 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. Determines the continuous improvement opportunities of current predictive modeling algorithms. Determines how decision support systems will provide the data required to make effective business decisions. Collaborate on automation to validate claims overpayment. Performs analyses of structured and unstructured data to solve multiple and/or complex business problems, utilizing advanced statistical techniques and mathematical analyses and broad knowledge of the organization and/or industry. Collaborates with data science providing guidance on overpayment model development. Minimum Requirements: 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. Preferred Skills, Capabilities, and Experiences: Experience working with large datasets highly preferred. PC, spreadsheet, and database skills is highly preferred. Project Management experience highly preferred. Complex data mining analysis and coordinating the activities of a project team experience highly preferred. Claims analysis experience highly preferred. Strong understanding of excel scrubbing/formulas highly preferred. Coding skills combined with a business background; preferred. Locations: California, Colorado, Nevada, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. Elevance Health is a health company dedicated to improving lives and communities
and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs, 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. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact support@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.