Business Information Consultant– Health System Reimbursement

Business Information Consultant – Health System Reimbursement

Location: Office hybrid 1 day per week, report to Pulse Point location Atlanta GA, Richmond VA, Indianapolis IN, Wallingford CT, Mason OH or alternate commuting distance.

Please note that candidates not within reasonable commuting distance will not be considered unless accommodation granted.

• Establish, improve, and optimize consolidating processes for forecast and month‑end results.
• Consolidate and prepare executive summary reports for various business segments in the SBU for top management decision‑making.
• Analyze and design solutions to address varied and highly complex business needs.
• Collaborate with businesses and technical areas to implement new or enhanced products.
• Coordinate with external audits as appropriate.
• Act as the central contact with internal departments and external auditors.
• Create and maintain databases to track business performance.
• Analyze data and summarize performance using summary statistical procedures.
• Develop and analyze business performance reports (e.g., claims, provider, utilization) and provide notations of performance deviations and anomalies.
• Create and publish periodic reports, as well as any necessary ad‑hoc reports.
• Make recommendations based upon data analysis.
• Provide analytic consultation to other business areas, leadership or external customers.

• BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience equivalent to background.

• Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.
• Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.
• Excel, SQL, and SAS experience highly preferred.
• Strong knowledge of products as well as our internal business models and data systems highly preferred.
• Experience providing leadership in evaluating financial performance of complex organizations highly preferred.
• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
• Ability to work independently and draw up plans to address issues/concerns highly preferred.

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 elevancehealthj for assistance.