Rating/Claims System Analyst (US)

Rating/Claims System Analyst

Locations: 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 listed here; Indianapolis, IN; Mason, OH; Atlanta, GA; Louisville, KY or Waukesha, WI.

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.

• Coordinates problem resolution with development and/or product vendors.

• Analyzes, develops and validates data.

• Analyzes complex end user needs to determine optimal means of meeting those needs.

• Develops project plans and identifies and coordinates resources, involving those outside the unit.

• Works with programming staff to ensure requirements will be incorporated into system design and testing.

• Acts as a resource to users of the software to address questions/issues.

• May provide direction and guidance to team members and serves as an expert for the team.

• Identifies, creates, and executes the appropriate Test Assets (plans, cases, scripts, and metrics) to assure the developed application conforms to requirements and design.

• Coordinates/executes testing across multiple testing phases, including SIT, UAT, and Regression.

• Defines appropriate testing methods to employ to assure developed application conforms to requirements and design.

• Ability to work independently with minimal supervision

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:

• Strong MS Office skills, Excel, PowerPoint, and MS-Access

• Insurance Knowledge of Health, Life & Accident

• Knowledge of WellPoint enterprise rating tools

• Programming skills- (SQL, JavaScript, Oracle, .NET)

• Agile experience strongly preferred.

• Ability to translate basic business needs into application software requirements.

• Demonstrated ability to perform and manage test execution activities.

• Possess strong analytical skills, organizational skills, attention to detail, and excellent verbal and written communication skills.

• Ability to establish and maintain effective working relationships with co-workers, managers and internal and/or external customers.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act