Jobs for People with MS: National MS Society

Carelon Behavioral Health, Inc. is enthusiastically supporting the launch of the Statewide School-Based Fee Schedule project by the Department of Health Care Services (DHCS) as the dedicated Third-Party Administrator. Our goal? To improve the mental health services offered to California's young students via this pivotal initiative.

We're expanding our team and eager to connect with professionals experienced in healthcare administration, network management, provider credentialing, and data analysis.

With this project, we're aligning our goals with Governor Newsom's Kids’ Mental Health and the Children and Youth Behavioral Health Initiative (CYBHI). We're working closely with DHCS, the Department of Managed Health Care (DMHC), and the California Department of Insurance (CDI) to implement a multi-payer fee schedule, ensuring fair reimbursement for school-linked providers offering designated outpatient mental health and substance use disorder services.

Business Analyst III

Location: This position will work a Hybrid model (remote and office). Ideal candidates Must live within 50 miles from an Elevance Health corporate office.

Work Shift: Monday thru Friday, 5 days a week during Pacific Standard Time business hours.

The Business Analyst III is responsible for serving as the liaison between the business and IT in translating complex business needs into business requirement documents and application software.

How you will make an impact:

• Analyzes complex end user needs to determine optimal means of meeting those requirements.

• Determines specific business application software requirements to address complex business needs.

• Documents, defines, and formalizes the requirements as part of technical workflows.

• Develops project plans and identifies and coordinates resources, involving those outside the unit.

• Works with programming staff to ensure requirements will be incorporated into system design and testing.

• Acts as a resource to users of the software to address questions/issues.

• May provide direction and guidance to team members and serves as an expert for the team.

Minimum Requirements:

• Requires a BA/BS and minimum of 5 years business analysis experience ; 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.

• Minimum of 3 years data analysis or related experience highly preferred.

• Experience with relational databases and knowledge of query tools and statistical software.

• Ability to manipulate large sets of data is strongly preferred.

• Strong analytical, organizational and problem solving skills.

• Familiarity with SQL, Oracle, toad, EDI files, and CMS interop files.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $79,488 to $119,232.

Location: California

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, 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.