Business Consultant - Commercial Claims Data Mining
Elevance Health(1 month ago)
About this role
A Business Consultant - Commercial Claims Data Mining at Carelon Payment Integrity (Elevance Health) supports the organization’s efforts to recover and prevent unnecessary medical expense by translating commercial claims business needs into application requirements and guidance. The role focuses on commercial claims data, provider and member contract interpretation, and aligning system capabilities to business objectives. This is a hybrid position requiring in-office presence 1-2 days per week.
Required Skills
- Business Analysis
- Requirements Gathering
- BRD Writing
- Query Design
- Stakeholder Engagement
- Project Management
- Data Analysis
- Meeting Facilitation
- Contract Interpretation
- Excel
Qualifications
- BA/BS
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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