Business Consultant Sr – Medicare Risk Adjustment
| Company | Elevance Health |
|---|---|
| Location | Indianapolis, IN, USA, Tampa, FL, USA, Richmond, VA, USA, Mason, OH, USA, Atlanta, GA, USA, Grand Prairie, TX, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior, Expert or higher |
Requirements
- Requires a BA/BS and minimum of 10 years business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; minimum of 3 years’ experience as a Business Consultant with project management skills; or any combination of education and experience, which would provide an equivalent background.
Responsibilities
- This role requires a professional with a blend of technical expertise and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs
- Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting those needs
- Determines specific business application software requirements to address the most highly complex and varied business needs
- May lead teams of analysts assigned to the most complex projects, typically those of highest importance and impact to the way in which we do business
- Analyzes and designs solutions to address varied and highly complex business needs.
Preferred Qualifications
- Working knowledge of Medicare is strongly preferred
- Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly preferred
- Advanced skills in Microsoft Office Suite, especially Excel for data handling and analysis, and PowerPoint for presentations
- Proficiency with Business Intelligence software like Tableau, Power BI to create reports and visualizations
- Experience working with relational databases and knowledge of query tools such as SQL, SAS, Teradata is strongly preferred
- Strong analytical, organizational, presentation, communication, and problem-solving, critical thinking skills strongly preferred.
- Proven track record of successfully implementing solutions that led to measurable improvements.