Remote Senior Claims Analytics & Systems Analyst

Elevance Health (Anthem); Nashville (TN); On-site; USD 90,000 - 125,000; Full time

Job summary

Elevance Health, through CareBridge Health, is seeking a Sr Application Analyst, Claims Systems to support reporting, analytics, and process improvements across the claims lifecycle. You’ll leverage provider-side claims knowledge, EHR/data expertise, and SQL skills to drive data-informed decisions and optimize workflows.

You will build self-service reporting, partner with Product, Engineering, Finance, and Operations, and help scale end-to-end claims processes in a flexible remote setting.

Qualifications

• Requires BA/BS in IT/CS or related field with a minimum of 6 years systems/business analysis experience.
• Experience with provider-side claims, revenue cycle, data management, and EHR systems preferred.
• Strong knowledge of 837P, remittance advice 835, and clearinghouse workflows.

Responsibilities

• Build and maintain reporting to track the full claims lifecycle from submission to payer response.
• Serve as SME on claims structure and payer responses; resolve data/workflow gaps.
• Support new payer implementations, onboarding, and go-live monitoring.
• Identify and resolve recurring submission issues; improve workflows and documentation.

Skills

Provider-side claims

Revenue cycle

Data management

EHR systems

SQL

BI tools

Tableau

Power BI

Clearinghouse workflows

Data analytics

Education

BA/BS in Information Technology or related field

Tools

Tableau

Power BI

Metabase

SQL Tools

Job description

Elevance Health, through CareBridge Health, is seeking a Sr Application Analyst, Claims Systems to support reporting, analytics, and process improvements across the claims lifecycle. You’ll leverage provider-side claims knowledge, EHR/data expertise, and SQL skills to drive data-informed decisions and optimize workflows.

You will build self-service reporting, partner with Product, Engineering, Finance, and Operations, and help scale end-to-end claims processes in a flexible remote setting.