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Elevance Health · 10 hours ago

Rating/Claims System Advisor

Louisville, KY

Full-time

Hybrid

Senior Level

6+ years exp

Elevance Health is a health company dedicated to improving lives and communities, seeking a Rating/Claims System Advisor. This role involves providing support, configuration, design, testing, and implementation for ratings or claims systems, translating complex business needs into software functionality, and ensuring quality and timeliness of project deliverables.

Health CareHealth InsurancePersonal HealthWellness

No H1B

Responsibilities

Translates the most highly 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 very diverse and 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

Qualification

Systems analysisBusiness analysisAdvanced ExcelSQLAgile experienceProblem resolutionEnd user supportDocumentation

Required

BA/BS degree in Information Technology, Computer Science or related field of study

Minimum of 6 years systems analyst or business analyst experience

Ability to translate complex business needs into application software functionality

Experience working with business owners to identify and analyze requirements and processes

Ability to configure new designs/updates in the system

Experience monitoring system and business functionality and performance

Ability to document and track product defects

Experience coordinating problem resolution with development and/or product vendors

Ability to implement rates, rating formulas, product and benefit configuration/information

Experience analyzing, developing and validating data

Ability to research, document and complete diverse and complex projects and work processes

Ability to formulate and define system scope and objectives based on user-defined requirements

Experience supporting and maintaining systems post-implementation

Ability to provide end user support, consultation, liaison communications, helpdesk triage, training, reporting, auditing, application security, and ad hoc inquiries and requests

Ability to provide expertise to lower level analysts