Systems Analyst Advisor - Commercial Reinsurance
Core
Lead end-to-end Commercial Reinsurance data and CMS submission processes, ensuring timely, accurate, and compliant regulatory reporting for Elevance Health.
Role type
Senior Systems Analyst Advisor (Healthcare Data & Regulatory Reporting)
Builds
Automated end-to-end reinsurance workflows and data pipelines for CMS submissions
Domain
Healthcare / Commercial Reinsurance / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
SQL, SAS, data extraction, validation, reconciliation, regulatory reporting, process redesign, workflow automation, data discrepancy analysis, UAT support, technical documentation
Preferred skills
Commercial Reinsurance program support, CMS regulatory program experience, claims data analysis, Snowflake, cloud data warehouse migration, ETL processes, data governance
Technologies
SQL, SAS, Snowflake, Python, Spark/Snowpark, Microsoft SQL Server, Enterprise Data Warehouses
Responsibilities
Lead end-to-end Commercial Reinsurance data and CMS submission process; Evaluate, redesign, and optimize existing Reinsurance workflows; Design and implement automated end-to-end processes; Identify claims eligible for Commercial Reinsurance by analyzing enterprise data sources; Work across multiple data sources to support business and regulatory requirements; Develop, maintain, and optimize complex SQL and SAS programs; Perform deep-dive analysis to investigate data discrepancies; Support CMS submissions, inquiries, and federal audits; Support User Acceptance Testing (UAT) for enhancements and production releases; Analyze business and system changes to implement effective technical solutions; Support migration of legacy SQL and SAS processes to Snowflake; Document business processes, technical designs, data flows, and operational procedures.
Seniority
Senior, hands-on IC