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Business Information Consultant

Location: Ideal candidates will be able to report to our Pulse Point location at 123 S Justison Street, Suite 200, Wilmington, DE 19801.

This role requires associates to be in-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.

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.

Work Hours: Monday to Friday, 8:00 am to 5:00 pm

The Business Information Consultant is responsible for creating and maintaining databases to track business performance, analyzing data and summarizing performance using statistical procedures.

How You Will Make an Impact:

• Analyze data and summarize performance using summary statistical procedures.
• Develop and analyze business performance reports (e.g. for claims data, provider data, utilization data) and provide notations of performance deviations and anomalies.
• Create and publish periodic reports, as well as any necessary ad hoc reports.
• Take business issue and devise best way to develop appropriate diagnostic and/or track data that will translate business requirements into usable decision support tools.
• Provide recommendations based upon data analysis.
• Provide analytic consultation to other business areas, leadership or external customers.

Minimum Requirements:

• Bachelor's degree in Computer Science, Information Technology, Public Health, Economics, Statistics, Epidemiology, Engineering, or related field.
• Five (5) years of experience in related occupation(s).

Experience Requirements:

• Five (5) years of experience with each of the following:
  • Query tools and statistical software;
  • Relational databases;
  • Manipulating large sets of data;
  • Advanced Ad Hoc Analytics;
  • Payment Dispute Analysis;
  • Enrollment Dispute Analysis;
  • 834 RCNI and RCNO advanced analytics & SQL coding;
  • RCNO monthly processing and manual work exclusions;
  • 820 APTC SQL coding and logic maintenance;
  • SQL Automation, Design and Development;
  • SQL Coding/Programming: daily code updates, enhancements and monthly maintenance;
  • Payment Dispute Automation: advanced analytics leading to new automations; and
  • Enrollment Dispute Automation: advanced analytics leading to new automations.

Alternate Education / Experience Requirements:

• Employer will accept a Master's degree in Computer Science, Information Technology, Public Health, Economics, Statistics, Epidemiology, Engineering, or related field and three (3) years of experience. Must have three (3) years of experience with each of the above skills.

Apply: https://careers.elevancehealth.com/

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.