Business Information Consultant – Healthcare Data

Location: Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). 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 Pulse Point locations.

The Business Information Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations, and providing guidance to other data analysts.

How You Will Make an Impact :

Creates and maintains databases to track business performance.

Analyzes data and summarizes performance using summary statistical procedures.

Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

Creates and publishes periodic reports, as well as any necessary ad hoc reports.

May require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

May make recommendations based on data analysis.

Provides analytic consultation to other business areas, leadership, or external customers.

Data analysis and reporting encompasses a much higher level of complexity.

Minimum Requirements:

Requires a BS/BA degree in a related field and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

Experience with relational databases and knowledge of query tools and statistical software is strongly preferred.

The ability to manipulate large sets of data is strongly preferred.

Strong analytical, organizational, presentation, and problem-solving skills strongly preferred.

Technologically adept with experience running queries in a multitude of environments.

Experience with Snowflake, Oracle, and SQL.

Healthcare business knowledge related to claims and claims systems, providers, and contracts.

Understanding of HEDIS measures, reporting requirements, and performance improvement methodologies, and the ability to apply this knowledge in practical settings.

Experience working with provider groups on quality improvement projects focused on HEDIS measures preferred.

Medicare experience preferred.

Ability to interpret and analyze complex medical data and translate this into meaningful, actionable information for provider groups.

Skilled at managing multiple projects involving provider groups and maintaining high standards of quality and accuracy.

This role requires a professional with a blend of technical expertise and strong interpersonal skills to effectively consult and guide provider groups on effective use and interpretation of HEDIS measures and supplemental data.

Excellent public speaking experience preferred

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 elevancehealthjobssupport@elevancehealth.com 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.