Business Consultant-Contract Compliance & Strategy

About the role

The Business Consultant serves as the liaison between Provider Solutions, Health Economics, and Contract Administration, translating moderately to highly complex business needs into software requirements, business procedures, reports, and analytical tools that support Chargemaster Enforcement processes. The role applies technical and business expertise to evaluate current and future business needs, ensuring technology-enabled solutions align with operational objectives and strategic initiatives.

Responsibilities

• May lead teams of analysts assigned to complex projects.
• Acts as a resource to Provider Solutions, Contract Management, and Health Economics to address questions/issues.
• Analyzes and designs solutions to address complex and varied business needs.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Lead the strategy and execution of recovery workflows for Contract Compliance and Chargemaster variances, from identification through final resolution/closure.
• Locate, review, and interpret complex contracts to support accurate compliance and reimbursement decisions.

Requirements

• Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experience

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

Benefits

How You Will Make An Impact
May lead teams of analysts assigned to complex projects.
Acts as a resource to Provider Solutions, Contract Management, and Health Economics to address questions/issues.
Analyzes and designs solutions to address complex and varied business needs.
Develops project plans and identifies and coordinates resources, involving those outside the unit.
Lead the strategy and execution of recovery workflows for Contract Compliance and Chargemaster variances, from identification through final resolution/closure.
Locate, review, and interpret complex contracts to support accurate compliance and reimbursement decisions.

Pay

The salary range for this specific position is $87,680 to $131,520.

Schedule

This position is not eligible for employment based sponsorship.

Qualifications

• Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background.

Skills

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

Benefits

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and a 401(k) match. Other benefits include medical, dental, vision, short and long-term disability, life insurance, wellness programs, and financial education resources. 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.

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.

Equal Employment Opportunity

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.