Anticipated End Date:
2026-05-18
Position Title:
Business Analyst III – 837 Implementations
Job Description:
Business Analyst III – 837 Implementations
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.
Shift: Candidates that are able to operate in Eastern Time Zone are preferred.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organizations in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.
The Business Analyst III is responsible for serving as the liaison between the business and IT in translating complex business needs into application software.
How you will make an impact:
Analyzes complex end user needs to determine optimal means of meeting those needs.
Determines specific business application software requirements to address complex business needs.
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:
UAT Testing experience strongly preferred.
837/ EDI Encounters experience strongly preferred.
Post adjudication claims experience preferred.
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