Systems Analyst Advisor Commercial Reinsurance

Anticipated End Date:

Position Title:

Job Description:

Systems Analyst Advisor - Commercial Reinsurance

Location: Hybrid1: This role requires associates be in the 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.

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.

The System Analyst Advisor is responsible for leading the end-to-end Commercial Reinsurance data and CMS submission process for Elevance Health. This role oversees the analysis design implementation and continuous improvement of the Reinsurance reporting workflow from identifying eligible claims through final CMS submissions and audit support.

The successful candidate will evaluate and redesign existing business processes develop automated end-to-end solutions and improve the efficiency accuracy and scalability of the Reinsurance program. This role requires working with multiple enterprise data sourcesincluding claims systems operational databases and enterprise data warehousesto ensure complete and accurate data is available for regulatory reporting.

As part of Elevance Healths data modernization strategy this position will also support the migration of legacy SQL and SAS processes to Snowflake and other cloud-based technologies. The ideal candidate is a self-directed innovative problem solver who takes ownership drives process improvements embraces automation and independently develops technical solutions with minimal direction.

How you will make an impact:

• Lead the end-to-end Commercial Reinsurance data and CMS submission process ensuring timely accurate and compliant submissions.
• Evaluate redesign and optimize existing Reinsurance workflows to improve efficiency scalability automation and data quality.
• Design and implement automated end-to-end processes that reduce manual effort and improve operational performance.
• Identify claims eligible for Commercial Reinsurance by analyzing claims membership and other enterprise data sources.
• Work across multiple data sources including claims systems operational applications enterprise databases and data warehouses to support business and regulatory requirements.
• Develop maintain and optimize complex SQL and SAS programs for data extraction validation reconciliation and regulatory reporting.
• Perform deep-dive analysis to investigate data discrepancies identify root causes and recommend sustainable solutions.
• Support CMS submissions CMS inquiries and federal audits through comprehensive data analysis and documentation.
• Support User Acceptance Testing (UAT) for enhancements production releases and projects impacting Reinsurance submissions.
• Analyze business and system changes assess impacts to the Reinsurance process and implement effective technical solutions.
• Support migration of legacy SQL and SAS processes to Snowflake and other modern cloud-based technologies.
• Collaborate with business partners IT and external stakeholders while independently leading analytical efforts and recommending technical solutions.
• Continuously identify opportunities to automate modernize and improve business processes and data workflows.
• Document business processes technical designs data flows and operational procedures.

Minimum 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.

Preferred Skills Capabilities and Experiences:

• Experience supporting Commercial Reinsurance or CMS Reinsurance programs.
• Claims processing claims data analysis or healthcare claims experience is highly preferred.
• Experience identifying claims eligible for CMS regulatory programs.
• Experience supporting CMS submissions CMS inquiries and federal audits.
• Experience with Snowflake and cloud-based data warehouse technologies.
• Experience migrating SQL SAS or ETL processes to Snowflake Python Spark/Snowparkor similar cloud platforms.
• Experience with Microsoft SQL Server.
• Experience with enterprise data warehouses ETL processes data governance and data quality best practices.
• Experience leading process improvement workflow redesign and automation initiatives.

For candidates working in person or virtually in the below locations the salary* range for this specific position is $101120 to $151680

Location(s): Richmond Roanoke VA

In addition to your salary Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stockpurchaseand 401k contribution (all benefits are subject to eligibility requirements).The salary offered for this specific position is based on a number of legitimate non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

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.

We offer a range of market-competitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13 the posting will automatically come down on 3/12 at 11:59:59 other words the job is posted until 3/13 not through 3/13.