Risk Adjustment Systems Analyst Advisor at Elevance Health in Atlanta, Georgia at Disabledperson, Inc
JOB DESCRIPTION
Job Title
Location: Indianapolis IN, Mason OH, Atlanta GA, Tampa FL, Grand Prairie TX, Louisville KY, St. Louis MO Hours: Standard Working hours Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Position Overview
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.
How You Will Make an Impact
- 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
Required Qualifications
- Requires a 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.
Preferred Qualifications
- 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