Rating/Claims Syst Analyst (US)-2
Elevance Health

Job Info

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Rating/Claims System Analyst

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 will be responsible for providing support, configuration, design, testing and implementation for ratings or claims systems.

How you will make an impact:

• 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 simple to moderately 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.

Minimum Requirements:

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 2 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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