Risk Adjustment Systems Analyst Advisor
About The Position
A key member in our Medicaid renal/ESRD strategy area for both our Health plans and vendors. Under the direction of the Medicaid RA Director, they will play a key role in both Specialty Revenue [ESRD] as well as Risk Adjustment. 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. 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.
Requirements
- Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years experience in a variety of technologies, documenting requirements and/or building test cases; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- Medicaid experience is a must
- Business Analyst or Business Systems Analyst certifications strongly preferred
- Experience with mainframe computer, hardware and operating systems and the impacts of changes in the systems stream, testing/product quality processes, tools and methods strongly preferred
- Experience with Rational tools, Six Sigma or other process improvement training strongly preferred
Responsibilities
- Defines functional, usability, reliability, performance and support requirements of a system
- Creates and performs feature testing and determines environmental needs
- Provides the link between the technical and business views of the system by ensuring that the technical solutions being developed will satisfy the needs of the business
- Partners with business, architecture and infrastructure and oversees all service levels to ensure business area satisfaction
- In depth knowledge of tools utilized
- Works with the IT learning organization to mentor and assist in training initiatives and performs estimates for application functionality enhancements
- Proactively works with stakeholders to identify future system opportunities and enhancements
- Develops use cases
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
