Edi Analytics Jobs in Nevada (NOW HIRING)

Business Analyst II

Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

The Business Analyst II is responsible for translating basic business needs into application software requirements. Business Analyst II with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing and maintaining 834 and proprietary eligibility, COB, and group files for various health plans.

How you will make an 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.

• Facilitate the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet both business needs and industry standards.

• Facilitate discussions with plans and other stakeholders to identify and clarify requirements, review test cases, and ensure alignment on project objectives and deliverables. communicating effectively throughout the process.

Minimum Requirements:

• 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 Experience, Skills, and Capabilities:

• Knowledge of systems capabilities and business operations is strongly preferred.

• The ability to be a self-starter with the ability to work independently and with minimal oversight preferred.

• Able to quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges preferred.

• Develop comprehensive documentation outlining business rules, process flows, and technical specifications preferred.

• Conduct end-to-end testing with prior experience in developing and performing test scenarios preferred.

• Beginner to Intermediate Excel skills preferred.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $61,680 - $106,398.

Locations: New York, Maryland, Nevada.

In 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.