Business Analyst II

About the position

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. The Business Analyst II is responsible for translating basic business needs into application software requirements.

Responsibilities

• 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.
• Support planning and execution of key deliverables, including data analysis, error remediation, and code review cycles.
• Provide subject matter expertise in U.S. healthcare, especially in claims adjudication, encounter submissions, and resolution of transaction rejections (e.g., 999, 277, 835).

Requirements

• Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.
• If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.

Nice-to-haves

• 837 claims experience preferred.
• EDI Analyst experience preferred.
• Experience with Edifecs preferred.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid Time Off
• Medical, dental, vision benefits
• Short and long term disability benefits
• Life insurance
• Wellness programs
• Financial education resources