Rating/Claims Systems Analyst Senior at Elevance Health

Norfolk, Virginia, United States

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Not SpecifiedCompensation

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
Minimum of 4 years systems analyst or business analyst experience (or any combination of education and experience providing equivalent background)

Responsibilities

Translates complex and varied business needs into application software functionality, involving significant expenditure or cost savings 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
Implements rates, rating formulas, product and benefit configuration/information 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

Skills

Key technologies and capabilities for this role

Rating SystemsClaims SystemsSystem ConfigurationRequirements AnalysisSystem TestingImplementationData AnalysisData ValidationBusiness Process AnalysisDefect TrackingVendor CoordinationRate ImplementationRating FormulasProduct ConfigurationBenefit Configuration

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This is a hybrid position requiring associates to be in-office 1-2 days per week, with flexibility for virtual work. 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 4 years of systems analyst or business analyst experience are required, or equivalent combination of education and experience.

What preferred skills are mentioned for this position?

Preferred skills include claims experience with Facets and/or WGS, SQL reporting experience, and Agile experience.

What is the salary or compensation for this role?

This information is not specified in the job description.

What experience makes a candidate stand out for this role?

Candidates with claims experience in Facets or WGS, SQL reporting skills, and Agile methodology experience will be highly preferred, in addition to meeting the minimum requirements of 4 years as a systems or business analyst.

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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