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Elevance Health Business Information Developer Consultant in Nashville, Tennessee

Business Information Developer Consultant

Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint office locations.

The Business Information Developer Consultant plays a fundamental role in handling, managing, and analyzing data related to Payment Integrity. A strong understanding of claim payment operations, data management principles, and the ability to work with complex data sets is ideal.

How You Will Make an Impact:

  • Database Support & Design: Supporting database design with an ability to generate ad hoc reports and build automated jobs; should be conversant with various database technologies.

  • Accessing and managing data spread across multiple servers.

  • Responsible for writing complex queries, stored procedures, and functions.

  • Leverages R programming language for data analysis, statistics, and visualizations.

  • Produces process mapping to help visualize and streamline business processes, aiding continuous improvement efforts.

  • Supports data output and corresponding analytical needs to assist with Payment Integrity processes.

  • Determines how decision support systems will provide the data required to make effective business decisions.

  • Performs modeling of information sources and flows.

  • May coordinate the activities of a project team and monitors project schedules and costs for own projects.

  • Develops strategic report applications from the Data Warehouse.

  • Establishes and maintains excellent knowledge of data warehouse database design, data definitions, system capabilities, programming languages, and data integrity issues.

  • Develops and supports complex data warehouse-related applications for business areas requiring design and implementation of database tables.

  • Conducts training on use of applications developed.

Minimum Requirements:

  • Requires a BS/BA degree and a minimum of 4 years related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

  • Business Information tools and programming/query languages strongly preferred.

  • Experience in robotic programming is a plus, especially with the ability to automate manual processes, improve efficiency and productivity.

  • Experience in server management software would be advantageous.

  • Strong experience with SQL (prefer 4+ years).

  • An in-depth understanding of the R programming language is highly preferred.

  • PC, spreadsheet, and database skills strongly preferred.

  • Prior Experience in Healthcare Industry is preferred.

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