Risk Adjustment Healthcare Business Consultant Sr

Elevance Health; Indianapolis (IN); Hybrid; USD 96,000 - 174,000; Full time

Job summary

An established industry player is seeking a Risk Adjustment Healthcare Business Consultant Sr. This role blends technical expertise with strong interpersonal skills to guide stakeholders on risk adjustment data and KPIs. You will lead teams on complex projects, analyze business needs, and design solutions that drive significant cost savings. Join a company dedicated to improving lives and communities, offering a hybrid work model and a comprehensive benefits package. If you have a passion for healthcare and a proven track record in business analysis, this opportunity is perfect for you.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401(k) contribution

Paid Time Off

Wellness programs

Financial education resources

Stock purchase plan

Qualifications

• 10+ years of business analysis experience required.
• Proficiency in data handling and analysis with Excel.
• Experience with Business Intelligence software preferred.

Responsibilities

• Translate complex business needs into software requirements.
• Provide expertise to lower-level consultants.
• Analyze and design solutions for business needs.

Skills

Business Analysis

Project Management

Analytical Skills

Communication Skills

Problem-Solving

Critical Thinking

Education

Bachelor's Degree

Tools

Microsoft Office Suite

Tableau

Power BI

SQL

SAS

Teradata

Job description

Anticipated End Date:

2025-05-23

Position Title:

Risk Adjustment Healthcare Business Consultant Sr

Job Description:

Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

Hours: Monday - Friday

Travel: Hybrid (1-2 days onsite per week)

Position Overview:

Responsible for translating most highly complex and varied business needs into application software requirements. These needs typically involve a 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:

• This role requires a professional with a blend of technical expertise and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs

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

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

• May lead teams 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

Required Qualifications:

• 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 Qualifications:

• Working knowledge of Medicaid is strongly preferred

• Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly preferred

• Advanced skills in Microsoft Office Suite, especially Excel for data handling and analysis, and PowerPoint for presentations

• Proficiency with Business Intelligence software like Tableau, Power BI to create reports and visualizations

• Experience working with relational databases and knowledge of query tools such as SQL, SAS, Teradata is strongly preferred

• Strong analytical, organizational, presentation, communication, and problem-solving, critical thinking skills strongly preferred.

• Proven track record of successfully implementing solutions that led to measurable improvements.

• Ability to interpret and analyze complex data and translate this into meaningful, actionable information for internal and external stakeholders.

• Skilled at managing multiple projects involving cross-functional teams and maintaining high standards of quality and accuracy.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $96,480 to $ 173,664

Locations: California; District of Columbia (Washington, DC), 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 fullyw 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.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

BSP > Business Support

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 [e-mail] 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.