Rating/Claims System Analyst - Virginia, United States - Elevance Health

Description

Rating/Claims System Analyst

Location:
This position will work a hybrid model (remote and office).

An ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed here:
Norfolk, VA preferred.
The

Rating/Claims System Analyst

is 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 Qualifications:

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, Experiences and Competencies:
Agile/JIRA experience strongly preferred.

Healthcare information technology expertise.

ClaimsXten or Timber experience preferred


SQL
Prior experience with clinical code editing applications.

Claims processing experience.

Experience with claims processing systems.

CPC certification a plus.

PMP a plus.

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