Business Analyst II - Provider Fee Schedules

Elevance Health, Inc.; Woburn (MA); Hybrid; USD 62,000 - 111,000; Full time

Job summary

Elevance Health, Inc. is seeking a Business Analyst II – Provider Fee Schedules to translate basic business needs into software requirements and to gather and analyze requirements for provider fees and fee schedules in collaboration with programming.

This hybrid role requires in-office presence 1–2 days per week, with alternate locations within commuting distance. Salary range is provided with company policies on compensation and commuting distance considerations.

Qualifications

• Requires a BA/BS and minimum of 3 years related business analysis experience.
• Knowledge of systems capabilities and business operations is strongly preferred.
• Strong communication and analytical skills are essential.]
• job_responsibilities_description':['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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• job_summary_short

Responsibilities

• 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.

Skills

SQL

Stakeholder communication

Analytical thinking

Education

BA/BS degree

Tools

TOAD

DBViz

Job description

Work location - Hybrid 1

This role requires associates to be in-office

Alternate location may be considered if candidates reside within a commuting distance from an office.

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 accommodation is granted as required by law.

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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law. The Business Analyst II – Provider Fee Schedules is responsible for translating basic business needs into application software requirements. The Business Analyst will be responsible for gathering and analyzing business requirements for provider fees and fee schedules and collaborating with programming for software development.

Primary Duties May Include, But Are Not Limited To

• 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.

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

Preferred Qualifications, Skills And Experiences

• Previous managed care/insurance experience is strongly preferred.
• Prior experience working with provider fees, fee schedules, reimbursements is also highly preferred.
• Strong understanding and practical application of SQL, TOAD and DBViz.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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.

The salary* range for this specific position is $61,680 to $111,024

Location(s): Massachusetts, New York

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 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.