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# Business Analyst II- Data Mining Overpayment and Operations/Payment Integrity-WGS Commercial Claims

- **Company:** Elevance Health
- **Location:** Indianapolis, IN, United States
- **Contract:** Permanent contract
- **Skills:** Microsoft Excel, Software Applications, Data Mining
- **Published:** July 11, 2026
- **Apply:** https://dejobs.org/x/x/87F07E4D722E4F5B978677EA88BBADC8/job/

## About the Role

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 Skills, Capabilities, and Experiences:

 * In-depth knowledge of WGS / CI&W Commercial Claims processing or adjustments is preferred.
 * In-depth knowledge of WGS Pricing Arrangements for East Region - CT, ME, NH, GA, NY, VA commercial markets.
 * Reimbursement Policies, Provider Contract, and Member Benefit expertise - highly preferred
 * Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
 * Project management, ability to manage multiple projects in various stages to completion.
 * Fluent in MS Excel.

## Description

The Business Analyst II is responsible for translating basic business needs into application software requirements. Identifies, analyzes, and validates overpayment recovery opportunities. Determines specific business requirements to address complex business needs. Completes all required documentation to support workflow and reporting. Collaborates with the claims validation team to approve concepts for recovery. May provide direction and guidance to team members.

How you will make an impact:

 * Analyze claims data and contract/policy guidelines to identify and assess overpayment and prevention opportunities, including researching leads and evaluating complex scenarios.
 * Translate business needs into clear requirements for prepayment solutions, partnering with data analysts on query design, testing (UAT), and implementation.
 * Prioritize and manage work while identifying process improvements that drive increased savings and operational efficiency.
 * 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.


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