Job Title Rating/Claims Syst Analyst Sr (US)-2 at Elevance Health in NORFOLK, Virginia

Job Description:

Rating/Claims System Analyst Senior




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



How you will make an impact:

• Translates complex and varied business needs into application software functionality.


• These needs typically involve a significant expenditure or cost savings and impact 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.


• 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 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.

Minimum Requirements:



Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 4 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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