Senior Business Analyst - Carelon Specialty Care
Company: Elevance Health
Location: Boise
Posted on: March 17, 2023
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Job Description:
**Senior Business Analyst - Carelon Specialty Care**+ Job
Family: Data Warehousing and Business Information+ Type: Full time+
Date Posted:Mar 07, 2023+ Req #: JR57584**Location:**+ IL, CHICAGO+
Colorado, Denver+ Nevada, Las Vegas+ New York, New York City+
Connecticut, Wallingford+ National +50 Miles away from nearest
PulsePoint, National +50 Miles away from nearest PulsePoint+
Virginia, Richmond+ California, Woodland Hills+ Ohio, Mason+
Wisconsin, Waukesha+ Georgia, Atlanta+ Missouri, St. Louis+
Kentucky, Louisville+ Indiana, Indianapolis+ Maine, South Portland+
New Hampshire, Manchester**Description****Senior Business
Analyst****Location:** This position will work on a hybrid model
(remote and office), 0-3 times per month in the office. Carelon
Specialty Health corporate office is in Chicago IL (near O'Hare
Airport), and may require some travel.??Carelon Specialty Health is
a benefit-management leader in Illinois and a proud member of
Elevance Health's family of companies. Our platform delivers
significant cost-of-care savings across an expanding set of
clinical domains, including radiology, cardiology, and oncology.The
Senior Business Analyst is responsible for analyzing, reporting,
and developing recommendations on data related to complex and
varied business metrics. Typically provides technical assistance to
lower-level staff.**How you can make a difference:**+ Establish
actuarially-sound cost modeling and forecasting methodologies that
accurately assess future business performance across new
go-to-market solutions and capabilities.+ Obtain, verify, analyze,
and model financial targeted outcomes such as return-on-investment
(ROI) and payback periods using claims and authorization data.+
Lead and/or actively participate in new solution strategy sessions
with AIM medical directors and Solution Design consultants.+
Partner with Actuarial team members to validate cost model
outcomes, savings modeling assumptions, and ROI recommendations.+
Identify medical cost, service utilization, service intensity, unit
cost, and membership trends to identify new opportunities for
product expansion.+ Understand cost levers of Carelon Specialty
Health services and make recommendations on program design.+
Accountable for developing a measurement system to assess the
financial performance of new solutions following implementation.+
Ensure that cost and saving model assumptions are tracked with
actual solution performance.+ Structure and perform independent
analyses and package findings for executive-level stakeholders.+
Conduct exploratory research on medical finance and cost-of-care
outcomes by publishing key cost trends and benchmarks.+ Serve as a
subject matter expert in trend decomposition to inform the business
of key financial risks that require more proactive surveillance.+
Use R, SQL, Excel, PowerPoint, and other tools to transform data
into insights and report findings to internal and external business
partners.**Minimum Requirements:**Requires a BS/BA degree in
related field and a minimum of 3 years data analysis or related
experience; or any combination of education and experience which
would provide an equivalent background.**Preferred Skills,
Capabilities, and Experiences:**+ A degree in Mathematics,
Statistics, Finance, Computer Science, or Health Informatics is
highly preferred.+ Experience specific to health insurance or
health insurance claims data or graduate-level-related education
may also be used to offset years of experience.+ Familiarity with
medical management or population health programs is highly
desired.+ Possess working knowledge of healthcare data and
measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM,
and utilization per 1,000.+ Advanced SQL and Excel skills are
strongly preferred.+ Base statistical skills to analyze, display,
describe, and summarize data into actionable insights.+ Data
visualization experience in QlikSense, Business Objects, Tableau,
or other BI tools is a plus.+ Excellent organizational, analysis
planning, and communication skills are critical.+ Ability to
participate collaboratively on teams producing complex analyses.+
Healthcare Analytics consulting experience is highly desired.+
Excellent analytical and critical thinking skills.For candidates
working in person or remotely in the below locations, the salary*
range for this specific position is $72,720 to $130,896.Locations:
California; Colorado; Nevada; Washington State; Jersey City, NJ;
New York City, NY; Ithaca, NY and Westchester County, NYIn 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 _._* The salary range is
the range Elevance Health in good faith believes is the range of
possible compensation for this role at the time of this posting.
This range may be modified in the future and actual compensation
may vary from posting based on geographic location, work
experience, education, and/or skill level. Even within the range,
the actual compensation will vary depending on the above factors as
well as market/business considerations. No amount is considered to
be wages or compensation until such amount is earned, vested, and
determinable under the terms and conditions of the applicable
policies and plans. The amount and availability of any bonus,
commission, benefits, or any other form of compensation and
benefits that are allocable to a particular employee remains in the
Company's sole discretion unless and until paid and may be modified
at the Company's sole discretion, consistent with the law.Please be
advised that Elevance Health only accepts resumes from agencies
that have a signed agreement with Elevance Health. Accordingly,
Elevance Health is not obligated to pay referral fees to any agency
that is not a party to an agreement with Elevance Health. Thus, any
unsolicited resumes, including those submitted to hiring managers,
are deemed to be the property of Elevance Health.**Be part of an
Extraordinary Team**Elevance Health is a health company dedicated
to improving lives and communities - and making healthcare simpler.
A Fortune 20 company with a longstanding history in the healthcare
industry, we are looking for leaders at all levels of the
organization who are passionate about making an impact on our
members and the communities we serve. You will thrive in a complex
and collaborative environment where you take action and ownership
to solve problems and lead change. Do you want to be part of a
larger purpose and an evolving, high-performance culture that
empowers you to make an impact?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.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. If you are not
vaccinated, your offer will be rescinded unless you provide - and
Elevance Health approves - a valid religious or medical explanation
as to why you are not able to get vaccinated that Elevance Health
is able to reasonably accommodate. Elevance Health will also follow
all relevant federal, state and local laws.Elevance Health has been
named as a Fortune Great Place To Work in 2022, has been ranked for
five years running as one of the 2023 World's Most Admired
Companies by Fortune magazine, and is a growing Top 20 Fortune 500
Company. To learn more about our company and apply, please visit us
at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.EEO is
the LawEqual Opportunity Employer / Disability / VeteranPlease use
the links below to review statements of protection from
discrimination under Federal law for job applicants and employees.+
EEO Policy Statement+ Know Your Rights+ Pay Transparency+ Privacy
Notice for California ResidentsElevance Health, Inc. is anE-verify
Employer
(https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)Need
Assistance?Email us (elevancehealth@icareerhelp.com) or call
1-877-204-7664
Keywords: Elevance Health, Boise , Senior Business Analyst - Carelon Specialty Care, Professions , Boise, Idaho
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