Claims Analyst -senior Systems Analyst-gr-21821-37901-jr184149
Carelon Global Solutions
Bangalore, India
Facets and wgs claims platforms
Commercial and gbd lobs
Healthcare claim lifecycle
Elevance Health is a leading health company dedicated to improving lives and communities and making healthcare simpler
Job Summary
Elevance Health is a leading health company dedicated to improving lives and communities and making healthcare simpler.
The Senior Systems Analyst will be responsible for expert adjudication of all GBD and CSBD claim types, with end-to-end experience across the claim lifecycle.
Carelon Global Solutions offers a world of limitless opportunities, fostering growth, well-being, innovation, and a sense of belonging.
Matching Summary
Elevance Health is a leading health company dedicated to improving lives and communities and making healthcare simpler.
Skills & Requirements
Must-have
FACETS and WGS claims platforms
Commercial and GBD LOBs
Healthcare claim lifecycle
CMS guidelines and pricing rules
CPT/HCPCS, ICD codes, modifiers
Complex claim handling
Nice-to-have
Excel VBA scripting for automation
SQL query writing for analysis
Innovative and agile work environment
Focus on learning and development
Key Requirements
4-8 years of experience in GBD (FACETS) and Commercial (WGS) claims processing
Bachelors' or Masters' in Computer Science/IT or equivalent