Manager Rating/Claims System Analyst

Elevance Health; Grand Prairie (TX); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare company is seeking a Manager Rating/Claims System Analyst to manage team workflows, act as a liaison for systems work, and educate business partners on processes. The role requires a BA/BS in a relevant field and at least 8 years of experience in systems or business analysis. Experience in medical coding and agile methodologies is highly preferred. This position offers flexibility to work virtually with some required in-person training sessions.

Qualifications

• Minimum of 8 years systems analyst or business analyst experience.
• Medical Coding experience highly preferred.
• Agile experience highly preferred.

Responsibilities

• Sets direction for the team and associated systems.
• Acts as a liaison to other teams regarding systems work.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Education

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

Job description

Position Title: Manager Rating/Claims System Analyst

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

The Manager Rating/Claims System Analyst is responsible for managing the day-to-day workload/workflow for team members. Ensures that needs of all business partners are considered and appropriately met.

How you will make an impact:

• Sets direction for the team and associated systems.
• Acts as a liaison to other teams in regard to systems work and provides subject matter expertise.
• Works with business partners to address obstacles and communicates both feasibility and status of various requests.
• Educates business partners as to the process and functionality of the associated systems.
• Participates in systems analyst work.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

Requires a 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.

Preferred Skills, Capabilities and Experiences:

• Medical Coding experience highly preferred.
• Clinical Code editing experience highly preferred.
• Agile experience highly preferred.
• Business Systems Analysis experience highly preferred.
• Requirements Gathering experience highly preferred.
• Technical Documentation experience highly preferred.
• Business Relationship Management experience highly preferred.