Senior Claims Data Analyst
Centivo$95,000 - $105,000/year
Full Time
Junior (1 to 2 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, InsuranceIndustries
Requirements
- BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and experience which would provide an equivalent background
- Must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Responsibilities
- Translates the most highly complex and varied business needs into application software functionality, involving significant expenditure or cost savings and impacting 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 as directed by the appropriate business unit
- Analyzes, develops and validates data
- Researches, documents and completes very diverse and 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
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
Is this a remote position or does it require office time?
This is a hybrid role requiring associates to be in-office 1-2 days per week to foster collaboration, with flexibility for virtual work otherwise. Candidates must reside within a reasonable commuting distance from an office location, unless an accommodation is granted.
What are the minimum education and experience requirements?
A BA/BS degree in Information Technology, Computer Science, or related field and a minimum of 6 years of systems analyst or business analyst experience are required, or equivalent combination of education and experience.
What preferred skills are mentioned for this role?
Preferred skills include claims experience with Facets and/or WGS, SQL reporting experience, and Agile experience.
What is the salary or compensation for this position?
This information is not specified in the job description.
What kind of experience makes a strong candidate for this role?
Strong candidates will have 6+ years as a systems or business analyst, a relevant degree, and preferred experience with claims systems like Facets/WGS, SQL reporting, and Agile methodologies.
Elevance Health
Integrated health services and digital platform
About Elevance Health
Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.
Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees
Benefits
Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave
Risks
Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.
Differentiation
Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.
Upsides
AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.
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