Business Analyst II- Capitation

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.

Build the Possibilities. Make an Extraordinary Impact.

The Business Analyst II- Capitation is responsible for translating basic business needs into application software requirements.

How you will make an impact:

Primary duties may include, but are not limited to:

• Analyze and support multiple markets, serving as the primary analyst and assisting the health plan with provider questions, payments, and contract concerns.

• Configure capitation for new contracts, amendments, and updates, and lead policy development and implementation of behavioral health reimbursement policy rules for specific plan(s).

• Test new implementations, new business, and expansions, while learning basic GCP concepts and other capitation-related processes.

• 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.

• 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 Skills, Capabilities and Experiences:

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

• Experience with GBD Facets capitation configuration and healthcare operations.

• Knowledge of provider contracts, amendments.

• Strong Excel skills (pivots, formulas, Power Query).

• SQL skills for data analysis.

• Ability to perform trend analysis and identify overpayment patterns and false positives.

• Effective communication and collaboration with cross-functional partners.

• May represent the department in meetings.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $61,680 to $92,520

Locations : Virginia

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.

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., 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 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.