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Business Analyst II- Data Mining Overpayment and Operations/Payment Integrity-WGS Commercial Claims

Company

Elevance Health

Location

Mason, OH

Posted

July 11, 2026

Position Overview

**Business Analyst II – Commercial Claims Data Mining**

**Shift:** Monday – Friday

The **Business Analyst II** is responsible for translating basic business needs into application software requirements. Identifies, analyzes, and validates overpayment recovery opportunities. Determines specific business requirements to address complex business needs. Completes all required documentation to support workflow and reporting. Collaborates with the claims validation team to approve concepts for recovery. May provide direction and guidance to team members.

**How you will make an impact:**

+ Analyze claims data and contract/policy guidelines to identify and assess overpayment and prevention opportunities, including researching leads and evaluating complex scenarios.
+ Translate business needs into clear requirements for prepayment solutions, partnering with data analysts on query design, testing (UAT), and implementation.
+ Prioritize and manage wor...

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