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Elevance Health · 1 week ago
Business Analyst II
VA-NORFOLK, 5800 NORTHAMPTON BLVD
Full-time
Hybrid
Mid Level
3+ years exp
Wonder how qualified you are to the job?
Health CareHealth Insurance
Insider Connection @Elevance Health
Responsibilities
Analyzes business needs to determine optimal means of meeting those needs.
Acts as liaison with users of the software to address questions/issues.
Research all resource documents and web-sites.
Document findings that support the concept.
Request and/or run queries as needed to retrieve data.
Meet with various business partners as needed.
Submit enhancement request for database updates.
Ensures proper review of the Forager Pipeline and Analyst reports.
Commit to deliverables and maintain timely turnaround times.
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.
Perform data mining utilizing CPT, HCPCS, DRG, ICD-9, ICD-10, etc., to identify recovery opportunities.
Validate overpayments, complete Approach document and forward necessary files and documents for CCU Load
Qualification
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Required
Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.
Preferred
Healthcare business analysis experience preferred.
Experience in using Facets, SQL and MACESS highly preferred.
Medical billing and/or claims processing experience is preferred.
2+ years of experience with data analysis, claims processing, provider billing, FWA investigations, cost containment, Medicare, Medicaid, MMP and/or MedSupp plans strongly preferred.
Medical coding experience - CPT, HCPCS, ICD-9/10 coding preferred.
CPC or applicable professional designation preferred.
Proficient of Microsoft Office products, most notably expertise in Excel for reporting, Word, PowerPoint, Teams, and Outlook strongly preferred.
Benefits
Paid Time Off
401(k) +match
Medical, dental, vision benefits
Short and long term disability benefits
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10,001+ employees
H1B Sponsorship
Elevance Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (510)
2022 (370)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-11-09IPO· nyse:ELV
Leadership Team
Gail K. Boudreaux
President & CEO
Geeta Wilson
Chief Technology Officer
Recent News
2024-06-03
2024-05-08
Yahoo Finance
2024-04-24
Company data provided by crunchbase
