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Senior Business Analyst - Carelon Specialty Care

Company: Elevance Health
Location: Raleigh
Posted on: March 19, 2023

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, Raleigh , Senior Business Analyst - Carelon Specialty Care, Professions , Raleigh, North Carolina

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