Business Information Consultant - Health System Reimbursement

Anticipated End Date:

2025-10-27

Position Title:

Business Information Consultant– Health System Reimbursement

Job Description:

Business Information Consultant– Health System Reimbursement

Location: This role requires associates to be in-office 1 day 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.   Ideal candidates will be able to report to one of our Pulse Point locations in Atlanta, GA, Richmond, VA, Indianapolis, IN, Wallingford, CT or Mason, OH. 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 an accommodation is granted as required by law.

The Business Information Consultant– Health System Reimbursement 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:

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.

• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

• Analyzes and designs solutions to address varied and highly complex business needs.

• Collaborates with businesses and technical areas to implement new or enhanced products.

• Coordinates with external audits as appropriate.

• Acts as the central contact with internal departments and external auditors.

• 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.

• Makes recommendations based upon 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 related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• 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.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

RDA > Business/Health Info

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 [email protected] 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.