Business Analyst II – Wellpoint Federal

Anticipated End Date:

Position Title:

Business Analyst II – Wellpoint Federal

Job Overview:

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

Location:

This role requires associates to be in-office 1-2 days per week, fostering collaboration while providing flexibility to support productivity and work-life balance. Alternate locations may be considered. 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.

Wellpoint Federal, a subsidiary of Elevance Health, delivers solutions across claims administration, data, and care delivery to support federal programs and improve health outcomes for federal populations.

• Analyze business needs to determine optimal solutions.
• Determine specific business application software requirements to meet identified needs.
• Work with programming staff to ensure requirements are incorporated into system design and testing.
• Act as liaison with software users to address questions and issues.

• BA/BS and a minimum of 3 years related business analysis experience, or equivalent combinations of education and experience.
• This position is part of the Wellpoint Federal division and requires foreign‑national applicants to have lived in the United States for at least three of the past five years.

• Minimum of two (2) years of experience working within a Claims Operations environment.
• Prior experience supporting Medicare Fee‑for‑Service (FFS) claims processing.
• Understanding of Part A and/or Part B claims workflows, CMS guidance, and CR/TDL implementation processes.
• Experience responding to external audits, CMS inquiries, compliance requests, and cross‑functional operational initiatives.
• Ability to identify process improvement opportunities and drive standardization across teams.
• Experience developing or maintaining SOPs, job aids, and centralized documentation repositories.
• Strong collaboration skills with the ability to work across operational areas (e.g., Clinical Claims, Appeals, Provider Enrollment, EDI, Contact Centers).
• Analytical skills to analyze operational trends and recommend solutions within a regulated environment.
• Comfortable working with data (Excel, basic SQL is a plus) and tools like Power BI to review and share insights.
• Foundational understanding of AI capabilities in healthcare and how they can support process improvement or reduce manual work.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: BSP >
Business Support

Salary range: $61,680 to $92,520. Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution, all subject to eligibility requirements.

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 expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by applicable federal, state, or local laws. Applicants requiring accommodation to participate in the job application process are welcome to contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state, and local laws.

Prospective employees who must be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.