Business Analyst II- Capitation

Title

Business Analyst II - Capitation

Hybrid:
Associates are required to be in-office 1-2 days per week to foster collaboration and connectivity while allowing flexibility for remote work. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance will not be considered unless an accommodation is granted as required by law.

Primary duties may include, but are not limited to:

• 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 plans.
• Test new implementations, new business, and expansions, while learning basic GCP concepts and other capitation-related processes.
• Analyze business needs to determine optimal means of meeting those needs.
• Determine specific business application software requirements to address specific business needs.
• Work with programming staff to ensure requirements are incorporated into system design and testing.
• Act as liaison with users of the software to address questions/issues.

• BA/BS and a minimum of 3 years related business analysis experience, or an equivalent combination of education and experience.

• Knowledge of systems capabilities and business operations.
• Experience with GBD Facets capitation configuration and healthcare operations.
• Knowledge of provider contracts and 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.

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility). Included benefits are merit increases, paid holidays, paid time off, medical, dental, vision, short‑term and long‑term disability, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.

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.

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.