Job Title Rating/Claims Syst Analyst Sr (US)-2 at Elevance Health

Posted in Other 3 days ago.

Location: Norfolk, Virginia





Job Description:

Rating/Claims System Analyst Senior




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


The Rating/Claims System Analyst Senior will be responsible for providing support, configuration, design, testing and implementation for ratings or claims systems.



How you will make an impact:



  • Translates complex and varied business needs into application software functionality.

  • These needs typically involve a significant expenditure or cost savings and impact a wide range of functions.

  • Works with business owners to identify and analyze requirements and processes with Information Technology and the vendor to ensure quality and timeliness of systems/project deliverables.

  • Configures new designs/updates in the system.

  • Monitors system and business functionality and performance.

  • Documents and tracks product defects.

  • Coordinates problem resolution with development and/or product vendors.

  • May implement rates, rating formulas, product and benefit. configuration/information and as directed by the appropriate business unit

  • Analyzes, develops and validates data.

  • Researches, documents and completes complex projects and work processes to ensure business continuity and consistency.

  • Formulates and defines system scope and objectives based on user-defined requirements.

  • Supports and maintains the systems post-implementation.

  • Provides end user support, consultation, liaison communications, helpdesk triage, training, reporting, auditing, application security, and ad hoc inquiries and requests.

  • Provides expertise to lower-level analysts.




Minimum Requirements:



Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 4 years' systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.



Preferred Skills, Capabilities, and Experiences:



  • Experience with Excel strongly preferred.

  • Experience with claims testing strongly preferred.

  • Experience with claims systems and processes strongly preferred.

  • Data analysis experience preferred.

  • Familiarity with CPT codes preferred.

  • Agile experience strongly preferred.


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