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Anthem, Inc. Rating/Claims Syst Adv ( ClaimsXten ) - PS34435 in Costa Mesa, California

Rating/Claims Syst Adv ( ClaimsXten ) - PS34435

Location: United States


Requisition #: PS34435

Post Date: 2 days ago

Your innovation. Our impact. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater health for our communities, and greater experiences for our customers. Innovation is a top priority. Here, you’ll have an opportunity to work in a collaborative environment that brings together industry leaders and technology experts, so together we can drive the future of health care.

Responsible for providing support, configuration, design, testing and implementation for ratings or claims systems.

Primary duties may include but are not limited to:

  • Translates the most highly complex and varied business needs into application software functionality. These needs typically involve a significant expenditure or cost savings and impact a wide range of functions.

  • Works with business owners to identify and analyze requirements and processes with Information Technology and the vendor to ensure quality and timeliness of systems/project deliverables.

  • Configures new designs/updates in the system. Monitors system and business functionality and performance.

  • Documents and tracks product defects.

  • Coordinates problem resolution with development and/or product vendors. May implement rates, rating formulas, product and benefit configuration/information and as directed by the appropriate business unit.

  • Analyzes, develops and validates data.

  • Researches, documents and completes very diverse and complex projects and work processes to ensure business continuity and consistency.

  • Formulates and defines system scope and objectives based on user-defined requirements.

  • Supports and maintains the systems post-implementation.Provides end user support, consultation, liaison communications, helpdesk triage, training, reporting, auditing, application security, and ad hoc inquiries and requests. Provides expertise to lower level analysts.

A BS/BA; 6-8 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background. Agile experience preferred. Ability to travel may be required.

An ideal candidate will have:

  • Working knowledge/experience using ClaimCheck orClaimsXten (CXT) systems required.

  • Experience with Excel nice to have.

  • Working knowledge/ experience with SQL queries and Databases (Oracle, SQL Server) nice to have. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at AnEqualOpportunityEmployer/Disability/Veteran