Business Consultant Sr- Data Mining Overpayment...

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.

Shift: Shift: Monday - Friday Daytime hours

The Business Consultant Sr position is responsible for leading a team of analysts and consultants that are responsible for translating complex and varied business needs into business cases or business requirements documents (BRD) to create machine learning models or data mining queries that will contribute to cost of care savings. These needs typically involve significant expenditure or cost savings and impact a wide range of functions. Also, provides expertise to lower leveled consultants.

How you will make an impact:

Primary duties may include, but are not limited to:

• Provides expertise to lower-level consultants on the analysis of business needs to determineoptimal means of meeting those needs.

• Determines specific business application software requirements to address the most highly complex and varied business needs.

• Will lead a team of analysts assigned to the most complex projects, typically those of highest importance and impact to the way in which we do business.

• Analyzes and designs solutions to address varied and highly complex business needs.

• Partnering closely with data scientists, query developers and business owners in the execution of machine learning models by providing feedback during various phases.

• Managing and prioritizing work assignments based on business needs

• Travels to worksite and other locations as necessary.

• Requires a BA/BS and minimum of 10 years business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; minimum of 3 years experience as a Business Consultant with project management skills; or any combination of education and experience, which would provide an equivalent background.

Preferred skills:

• Machine learning understanding and experience

• Strong analytical and problem-solving skills with research-oriented approach

• Strong written, verbal and interpersonal communication skills

• Advanced skill level with MS Excel; pivot tables, formulas, V-lookup, etc.

• Strategic thinking and collaboration skills

• Claims processing skills

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.