Risk Adjustment Systems Analyst Advisor

Elevance Health • Tampa, FL

2d • Hybrid

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. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level