Elevance Health

Risk Adjustment Systems Analyst Advisor

Elevance Health$85K — $110K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS in Information Technology, Computer Science, or related field
  • Minimum 6 years of experience with technology requirements and test case documentation
  • In-depth knowledge of relevant tools and technologies
  • Experience in Medicaid systems is essential
  • Preferred certifications in Business Analysis or Business Systems Analysis
  • Experience with mainframe systems and their testing processes is preferred
  • Familiarity with Rational tools and Six Sigma methodology is strongly preferred

Responsibilities

  • Define system functional, usability, reliability, and performance requirements
  • Create and perform feature testing and analyze environmental needs
  • Link technical and business system views to meet business needs
  • Partner with business and IT teams to oversee service levels for satisfaction
  • Mentor IT staff and assist in training initiatives
  • Identify future system opportunities and enhancements proactively
  • Develop use cases for various system functionalities

Benefits

  • Flexible work environment with hybrid options
  • Opportunity to work collaboratively in-office 1-2 days a week
  • Support for work-life balance through a mix of remote and in-office work
  • Engagement in a dynamic workplace culture
  • Mentorship opportunities within the IT learning organization
Full Job Description
Anticipated End Date:
2026-06-26

Position Title:
Risk Adjustment Systems Analyst Advisor

Job Description:

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 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 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


Job Level:
Non-Management Exempt

Workshift:
1st Shift (United States of America)

Job Family:
IFT > IT Bus Systems Solutions Planning

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.

NOTE:

About Elevance Health

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Our philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.

Elevance Health Careers

Join the vibrant team at Elevance Health, a leader in healthcare solutions, where we prioritize innovation, leadership, and the well-being of our communities. At Elevance Health, we offer more than just job opportunities; we provide a pathway to a fulfilling career in a diverse and inclusive environment.

Work You’ll Do

At Elevance Health, you will be part of a team dedicated to reshaping the future of healthcare through outstanding service and cutting-edge technology. Our professionals enjoy a culture of collaboration and respect that supports both personal and professional growth.

Explore Career Opportunities

Whether you're seeking your first internship or a seasoned professional position, Elevance Health offers a range of employment opportunities across various specialties. Our team is growing, and we are hiring individuals who are passionate about making a difference in healthcare. Explore positions that match your skills and interests in our dynamic company.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Elevance Health, you will work alongside industry leaders and have the chance to develop leadership skills that are crucial in today’s fast-paced healthcare environment. Our leadership and diversity training ensure that all team members are equipped to lead, inspire, and thrive.

Develop Your Career

Elevance Health is committed to the professional growth of our employees. With access to comprehensive benefits, career development programs, and networking opportunities, you can expand your skills and advance your career within a supportive and nurturing environment. Our commitment to professional development is reflected in our robust training programs and our focus on promoting from within.

Benefits and Culture

We understand that the well-being of our employees is paramount. Elevance Health offers competitive benefits designed to support the health, financial security, and work-life balance of our team members. Our inclusive culture fosters innovation and is one of our greatest strengths.

Join Our Team

Ready to make a significant impact in healthcare? Search for open job opportunities at Elevance Health that align with your skills and career ambitions. We are looking for curious, creative, and solution-driven team players who are ready to drive change and deliver solutions.

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Apply Now

Start your journey with Elevance Health by exploring our career portal for available job opportunities. Submit your resume, prepare for your interview, and take the first step towards a rewarding career that makes a real difference.

Elevance Health Careers

Empowering your future in healthcare. Join us and be part of a team that is dedicated to improving lives and communities every day.
Learn more about Elevance Health
Size
3,969 employees
Market Cap
$116.9 billion
Industry
Net Income
$4.5 billion
Founded
1944
5 Year Trend
+10.3%
Revenue
$121.8 billion
NASDAQ

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