Senior Claims System Analyst

9 hours, 1 minute ago
Full-time
Senior
Product Management
Gravie

Gravie

Gravie is reinventing health benefits with transparent, affordable solutions like Comfort® plan, ensuring easy access to care for employers and individuals.

Insurance
251-1K
Founded 2013
$177M raised

Description

  • Serve as the technical leader and make architectural decisions for the Javelina platform, designing scalable solutions that integrate with other systems.
  • Lead workstreams within large-scale, technically complex projects and coordinate cross-functional teams during implementations.
  • Oversee end-to-end implementation and rigorous testing of system changes across vendor platforms to ensure alignment with internal systems and data integrity.
  • Design and manage an issue and defect management framework including request prioritization, root cause analysis, and troubleshooting to mitigate risks and optimize functionality.
  • Translate business and technical requirements into system solutions that meet organizational and enterprise standards.
  • Develop and maintain comprehensive documentation such as Standard Operating Procedures, user manuals, and desk-level guides.
  • Support strategic projects by performing gap analysis, defining system requirements, and leading user acceptance testing (UAT).
  • Monitor vendor platform performance against KPIs and organizational SLAs and maintain vendor platform functionality.
  • Design and manage a repeatable release management and change control framework for vendor platforms.
  • Build and maintain strong vendor relationships, including issue management, invoice reconciliation, SLA monitoring, and transitioning vendor ownership to internal HPA team members when appropriate.

Requirements

  • Bachelor’s degree or equivalent experience.
  • Deep technical and functional knowledge of Javelina.
  • 5+ years of experience in business analysis and/or product management within the healthcare industry.
  • Advanced subject matter expertise in end-to-end claim adjudication processes and systems.
  • Proven track record supporting complex, multi-layered processes and projects.
  • Ability to analyze complex requirements and design scalable, maintainable system solutions.
  • Excellent interpersonal skills with experience facilitating user groups and gathering cross-functional feedback.
  • Outstanding analytical and conceptual thinking skills and strong planning, organizational, and time management abilities.
  • Clear and effective written and verbal communication skills, with experience creating detailed reports and delivering presentations.
  • Preferred: previous early-stage/startup experience; Stop Loss experience; Business Analyst or Product Owner certification; Project Management or Scrum Master certification; Six Sigma Green Belt.

Benefits

  • Salary range $67,500 - $112,500 annually with consideration of education, skills, experience, and certifications.
  • Standard health and wellness benefits plus alternative medicine coverage.
  • Flexible PTO and paid holidays.
  • Up to 16 weeks paid parental leave.
  • 401(k) program.
  • Cell phone reimbursement and transportation perks.
  • Education reimbursement and 1 week paid paw-ternity leave.

Interested in this position?

Apply directly on the company website

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