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Financial Operations Analyst Lead





Financial Operations Analyst Lead

Supporting the Payment Integrity line of business

Location: Must reside within 50 miles one of Elevance Health offices.

Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.

The Financial Operations Analyst Ld. is responsible for analyzing data and providing new processes, system enhancements and technical solutions to complex business issues. Leads and coaches staff. Manages workflow and oversees day-to-day department responsibilities. May conduct operational meetings with staff. Assists management in establishing work goals. Prepares management reports and may do budget variance.

The selected candidate will contribute to the four functional areas under this support team. DICE - Disputes, Inquiries, Correspondence and Escalated Recoveries.

How you will make an impact:

  • Develops and executes complex data analysis.

  • Develops strategic report applications from Finance systems.

  • Writes queries and macros to enhance access databases and builds new databases in support of accurate balance sheet/P&L reporting.

  • Provides decision support and procedural input to ensure that processing efficiency does not compromise internal control mechanisms.

  • Interfaces with IT as needed and documents and tracks any needed system enhancements with IT management.

  • Documents and responds to any external audit requests.

  • Assists in the implementation of software releases within the Finance organization.

  • Ensures proper conversion or shutdown of legacy systems by developing and documenting enterprise solutions for successful transition to core processing systems.

  • Has technical and operational expertise.

  • Can commit department to deliverables on own initiative. Uses discretion in making independent decisions.

  • Responsible for understanding the business requirements in order to write queries and gather data.

  • Implementation and maintenance of departmental scorecard systems, team metrics and dashboards

  • Maintain departmental SharePoint sites and databases

  • Creation of SharePoint tools, sites and databases 

  • Ability to effectively communicate with external and internal partners both written and oral

  • Ability to appropriately tailor communication to the intended audience

  • Identify gaps and suggest reporting initiatives to functional area leaders

  • Management of multiple projects

Minimum Requirements:

  • Requires a BA/BS in accounting or finance and a minimum of 5 years experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background.

  • Project management experience required.

Preferred Qualifications:

  • MBA, CPA, CMA, CFA or applicable professional designation preferred.

  • SQL and Tableau experience is highly preferred.

  • Experience building recovery platforms from scratch is highly preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at 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, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

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