Business Analyst II

Elevance Health

Business Analyst II at Elevance Health analyzing business needs for federal programs. Ensuring requirements are met through collaboration with programming staff and software users.

Posted 5/21/2026full-timeRichmond • Florida, New York, Texas, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $61,680 - $92,520 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Analyzes business needs to determine optimal means of meeting those needs.
Determines specific business application software requirements to address specific business needs.
Works with programming staff to ensure requirements will be incorporated into system design and testing.
Acts as liaison with users of the software to address questions/issues.

Requirements

What you’ll need

BA/BS
minimum of 3 years related business analysis experience
Minimum of two (2) years of experience working within a Claims Operations environment.
Prior experience supporting Medicare Fee-for-Service (FFS) claims processing strongly preferred.
Demonstrated understanding of Part A and/or Part B claims workflows, including regulatory requirements, CMS guidance, and CR/TDL implementation processes.
Experience responding to external audits, CMS inquiries, compliance requests, and cross-functional operational initiatives.
Proven ability to identify process improvement opportunities and drive standardization across teams.
Experience developing or maintaining SOPs, job aids, and centralized documentation repositories.
Strong collaboration skills with the ability to work across operational areas (e.g., Clinical Claims, Appeals, Provider Enrollment, EDI, Contact Centers, and other business partners).
Ability to analyze operational trends, recommend solutions, and support innovation initiatives within a regulated environment.
Comfortable working with data (Excel, basic SQL is a plus) and using tools like Power BI to review and share insights.
Foundational understanding of AI capabilities in healthcare and how they can support process improvement or reduce manual work.

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
medical benefits
dental benefits
vision benefits
short and long term disability benefits
paid holidays
Paid Time Off
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

business analysisclaims processingregulatory requirementsprocess improvementSOP developmentdata analysisSQLPower BIAI capabilitiesdocumentation management

Soft Skills

collaborationcommunicationproblem-solvinganalytical thinkinginnovationstandardizationliaisonadaptabilitycross-functional teamworkorganizational skills

Certifications

BA/BS degree