Rating/Claims System Analyst

4 weeks ago


Norfolk, United States Elevance Health Full time

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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