Business Analyst II
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Indianapolis • Florida • Kentucky • United States
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About the role
- Serving as a liaison, the BA II works closely with Health Plans and their staff to address workflow inquiries
- Responsible for researching and maintaining comprehensive documentation, such as policies, manuals, and contracts
- Crafts validation instructions to guide downstream departments in accurately reviewing claims related to overpayment scenarios
- Manage Ad Hoc recovery initiatives and handle monthly low-complexity recurring leads
- Analyzing recovery reports to enhance claim validation accuracy and identify areas for process improvement
Requirements
- Requires a BA/BS
- minimum of 3 years related business analysis experience
- Experience with Medicaid, Medicare, Commercial lines of business preferred
- Claims Processing Experience is a must
- COB experience strongly preferred
- Data analysis experience preferred
- GBD FACETS experience preferred
- WGS experience nice to have
- Attention to detail strongly preferred
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
business analysisclaims processingdata analysisCOBGBD FACETSWGS
Soft Skills
attention to detail
Certifications
BA/BS