Rating System Senior Adviser

Elevance Health•Nashville, TN

1d•Hybrid

About The Position

The Rating System Senior Adviser is responsible for providing support, configuration, design, testing and implementation for ratings or claims systems. The position will support the ABACUS (Enterprise Large Group Underwriting Rating System) used by our 14 core Anthem state for both FI and ASO business. ABACUS application was built on the Optum Stepwise tool and development of ABACUS is base on both business support as well as IT.

Requirements

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Previous experience with large group medical underwriting or actuarial systems highly preferred.
Strong Excel and SQL skills.
IT programming, especially around Optum Stepwise and Agile program management are strongly preferred.
Mathematics or Statistical educational background preferred.

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.