Rating/Claims Systems Advisor at Elevance Health

Norfolk, Virginia, United States

Apply Now

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

Claims Systems

Rating Systems

System Configuration

Requirements Analysis

System Testing

Implementation

Data Analysis

Rating Formulas

Product Configuration

Benefit Configuration

Defect Tracking

Business Process Analysis

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.

Land your dream remote job 3x faster with AI

Try Jobo Free