Business Analyst II- Capitation

Business Analyst II
- Capitation

Be Part of an Extraordinary Team

Title:

Business Analyst II
- Capitation

Hybrid:
This role requires associates to be in-office 1 - 2 days 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. 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.

Build the Possibilities. Make an Extraordinary Impact.

The Business Analyst II
- Capitation is responsible for translating basic business needs into application software requirements.

How you will make an impact:

• Analyze and support multiple markets, serving as the primary analyst and assisting the health plan with provider questions, payments, and contract concerns.
• Configure capitation for new contracts, amendments, and updates, and lead policy development and implementation of behavioral health reimbursement policy rules for specific plan(s).
• Test new implementations, new business, and expansions, while learning basic GCP concepts and other capitation-related processes.
• Analyzes business needs to determine optimal means of meeting those needs.
• Determines specific business application software requirements to address specific business needs.
• Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Acts as liaison with users of the software to address questions/issues.

Minimum Requirements:

• BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Knowledge of systems capabilities and business operations is strongly preferred.
• Experience with GBD Facets capitation configuration and healthcare operations.
• Knowledge of provider contracts, amendments.
• Strong Excel skills (pivots, formulas, Power Query).
• SQL skills for data analysis.
• Ability to perform trend analysis and identify over payment patterns and false positives.
• Effective communication and collaboration with cross-functional partners.
• May represent the department in meetings.

For candidates working in person or virtually in the below location(s), the salary
* range for this specific position is $61,680 to $92,520

Locations:
Virginia

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 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. 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:
Job Family: BSP >
Business Support

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.

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…