Business Consultant

Business Consultant Anticipated End Date: 2026-09-18 Position Title: Business Consultant Job Description: Business Consultant Hybrid 1: 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 accommodation is granted as required by law. The Business Consultant responsible for translating moderately complex and varied business needs into application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments. How you will make an impact May lead teams of analysts assigned to complex projects. Determines specific business application software requirements to address complex and varied business needs. Analyzes and designs solutions to address complex and varied business needs. Consults with business partners concerning application and implementation of technology. Lead restitution reviews and operational investigations to assess member, client, and financial impacts resulting from process, system, or configuration issues. Conduct complex business and claims data analyses to quantify impact, identify trends, and support remediation recommendations. Partner with cross-functional teams including Operations, Product, Technology, Finance, Compliance, and Client Services to evaluate risks and develop corrective actions. Facilitate root cause analysis efforts and drive process improvements that strengthen operational controls and prevent future issues. Develop impact assessment methodologies, business cases, and executive-level reporting to support decision making. Support strategic PBM Operations initiatives by evaluating operational impacts, implementation risks, and business performance outcomes. Prepare and present findings, recommendations, and status updates to leadership and key stakeholders. Maintain documentation and governance artifacts to support compliance, audit, and contractual obligations. 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 Knowledge of systems capabilities and business operations is strongly preferred. Knowledge of PBM operations, pharmacy claims adjudication, and benefit configuration is preferred. Experience with impact analysis, operational risk assessments, and root cause investigations is preferred. Strong analytical and problem-solving skills with experience working with large datasets is preferred. Proficiency in Excel, SQL, Power BI, or similar reporting and analytics tools is preferred. Ability to translate complex findings into actionable business recommendations is preferred. Strong communication and presentation skills, including executive-level reporting is preferred. Experience leading cross-functional initiatives and driving process improvements is preferred. Healthcare, PBM, compliance, or operational consulting experience preferred. Salary For candidates working in person or virtually in the below locations, the salary* range for this specific position is $87,680 to $131,520 Location: Virginia. Benefits a comprehensive benefits package incentive and recognition programs equity stock purchase 401k contribution (all benefits are subject to eligibility requirements) Job Details Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Business Support. Pay Equity 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. Recruiter Disclaimer 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. Vaccination Policy The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws. Equal Employment Opportunity & Diversity Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Posting Information NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13. Company Overview Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Accessibility & Legal Compliance Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Florida Screening Notice Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Other Notices Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans. We have included all the content; duplicates remain as originally provided. #J-18808-Ljbffr The Elevance Health Companies, Inc.