Business Consultant - Contract Compliance & Strategy

Business Consultant – Contract Compliance & Strategy

Location: 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.

The Business Consultant is responsible for serving as the liaison between Provider Solutions, Health Economics, and Contract Administration in translating complex business needs into procedures, reports, and tools that support Chargemaster Enforcement processes.

How you will make an impact:

• May lead teams of analysts assigned to complex projects.
• Acts as a resource to Provider Solutions, Contract Management, and Health Economics to address questions/issues.
• Analyzes and designs solutions to address complex and varied business needs.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Lead the strategy and execution of recovery workflows for Contract Compliance and Chargemaster variances, from identification through final resolution/closure.
• Locate, review, and interpret complex contracts to support accurate compliance and reimbursement decisions.

Minimum Requirements:

Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Prior experience in Chargemaster Enforcement highly preferred.
• Knowledge of systems capabilities and business operations is strongly preferred.
• Strong working knowledge of MS Office products (Excel) preferred.
• The ability to collaborate effectively across business areas, influence decision-making, and drive negotiations preferred.
• Strong communication skills (written and verbal), especially with communicating with the various customers and support teams highly preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $87,680 to $138,096.

Locations: Columbus, OH; New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.