Business Consultant Sr- Data Mining Overpayment and Operations/Payment Integrity- WGS Claims

Title: Business Consultant Sr- Data Mining Overpayment and Operations/Payment Integrity- WGS Claims Job Description: Business Consultant Sr   Location: Indianapolis, IN Hybrid This role requires associates to be in-office 1 - 2  days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, 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. Shift: Monday – Friday Daytime hours The Business Consultant Sr   position is responsible for leading a team of analysts and consultants that are respons ible for translating complex and varied business needs into business cases or business requirements documents (BRD) to create machine learning models or data mining queries that will contribute to cost of care savings. These needs typically involve significant expenditure or cost savi ngs an d impact a wide range of functions . Also, p rovides e xpertise to lower leveled consultants.    How you will make an impact:   Primary duties may include, but are not limited to:    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.    Will lead a team 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 .     Partnering closely with data scientists, query developers and business owners in the execution of machine learning models by providing feedback during various phases.   Managing and prioritizing work assignments based on business needs   Travels to worksite and other locations as necessary.

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.

Machine learning understanding and experience   Strong analytical and problem-solving skills with research-oriented approach   Strong written, verbal and interpersonal communication skills    Advanced skill level with MS Excel; pivot tables, formulas, V-lookup, etc.   Strategic thinking and collaboration skills   Claims processing skills   Job Level: Non-Management Exempt Workshift: Job Family: BSP > Business Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors