Elevance Health

Business Analyst - Claims/Query Testing

Elevance Health

Las Vegas, NV, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a problem-solver with a keen eye for detail and a passion for improving processes? Are you looking for a challenging and dynamic role in the healthcare industry? Look no further! Elevance Health is seeking a talented Business Analyst to join our team and support our claims and query testing efforts. In this role, you will work closely with our claims team to identify and resolve issues, ensuring the accuracy and efficiency of our claims processing. If you have strong analytical skills, a deep understanding of healthcare claims and queries, and a drive to continuously improve processes, we want to hear from you!

  1. Analyze and evaluate healthcare claims and queries to identify issues and areas for improvement.
  2. Collaborate with the claims team to develop and implement solutions to streamline processes and increase efficiency.
  3. Conduct thorough testing and validation of claims and queries to ensure accuracy and compliance with regulations.
  4. Utilize strong problem-solving skills to troubleshoot and resolve complex issues.
  5. Continuously monitor and analyze data to identify trends and patterns and recommend solutions to improve process performance.
  6. Develop and maintain documentation and reports related to claims and query testing and analysis.
  7. Communicate effectively with team members and stakeholders to provide updates on testing progress and escalate issues as needed.
  8. Stay informed about industry changes and regulations related to claims processing and use that knowledge to improve processes and ensure compliance.
  9. Collaborate with cross-functional teams to identify opportunities for process improvement and implement best practices.
  10. Maintain a high level of attention to detail and accuracy in all tasks and deliverables.
Where is this job?
This job is located at Las Vegas, NV, USA
Job Qualifications
  • Strong Analytical And Problem-Solving Skills: As A Business Analyst In The Field Of Claims/Query Testing, It Is Essential To Have A Strong Ability To Analyze And Interpret Complex Data, Identify Patterns, And Effectively Troubleshoot Issues.

  • Knowledge Of Healthcare Industry And Claims Processing: A Business Analyst At Elevance Health Must Have A Thorough Understanding Of The Healthcare Industry, Including Claims Processing, Regulations, And Compliance Requirements.

  • Experience With Testing And Quality Assurance: The Role Of A Business Analyst In Claims/Query Testing Involves Designing And Executing Test Plans, Identifying Defects, And Ensuring The Accuracy And Functionality Of Claims Processing Systems. Therefore, Proficiency In Testing And Quality Assurance Methodologies Is Crucial.

  • Excellent Communication And Collaboration Skills: As A Liaison Between Various Teams And Stakeholders, A Business Analyst Must Possess Excellent Communication Skills To Effectively Convey Technical Information To Non-Technical Stakeholders And Collaborate With Cross-Functional Teams.

  • Proficiency In Relevant Software And Tools: Elevance Health May Use Various Software And Tools For Claims/Query Testing, Such As Sql, Tableau, And Jira. Proficiency In These Tools Is Essential For A Business Analyst To Perform Their Job Efficiently.

Required Skills
  • Quality Assurance

  • Process Improvement

  • Communication Skills

  • Project Management

  • Data Analysis

  • User Acceptance Testing

  • Problem Solving

  • Test Planning

  • SQL queries

  • Requirements Gathering

  • Stakeholder management

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Problem Solving

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Business Analyst - Claims/Query Testing in Las Vegas, NV, USA is between $70,000 and $90,000 per year. However, this can vary depending on factors such as experience, skills, and the specific company or industry the individual is working in. Some experienced Business Analysts in this role may earn upwards of $100,000 per year.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedOctober 14th, 2024
Apply BeforeJune 9th, 2026
This job posting is from a verified source. 
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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