Rating/Claims System Advisor

Elevance HealthMason, OH
1dHybrid

About The Position

Rating/Claims System Advisor Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future visa sponsorship. The Rating/Claims System Advisor is responsible for providing support, configuration, design, testing and implementation for ratings or claims systems. How you will make an Impact: 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.

Requirements

  • Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background

Nice To Haves

  • Advanced Excel skills (Formulas, Pivot Tables and VLookups)
  • Stepwise tool experience preferred
  • Exposure to SQL Agile experience preferred

Responsibilities

  • providing support, configuration, design, testing and implementation for ratings or claims systems
  • Translates the most highly complex and varied business needs into application software functionality
  • 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

Benefits

  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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