Gravie

Senior Claims System Analyst

Gravie

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $67,500 - $112,500 per year

Job Level

Senior

About the role

  • Act as a technical leader for the Javelina platform, making key architectural decisions and designing scalable solutions that integrate seamlessly with other systems.
  • Serve as a subject matter expert on vendor platforms and business processes, delivering strategic guidance to cross-functional teams.
  • Translate business and technical requirements into effective system solutions aligned with organizational needs and enterprise standards.
  • Develop and maintain comprehensive documentation, including Standard Operating Procedures (SOPs), user manuals, and desk-level guides.
  • Support strategic projects, providing gap analysis, defining system requirements and leading user acceptance testing.
  • Monitor and maintain vendor platform functionality, ensuring performance aligns with platform KPIs and organizational SLAs.
  • Design and manage a repeatable release management framework for vendor platforms, ensuring consistent deployment and change control practices.
  • Build strong vendor relationships during implementation by establishing issue management, invoice reconciliation, and SLA monitoring frameworks; transition vendor ownership to appropriate HPA team members when appropriate
  • Facilitate internal user groups and gather stakeholder feedback on platform usability, accessibility, effectiveness, and system compatibility.
  • Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented.

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 of supporting complex, multi-layered processes and projects
  • Strong 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
  • Clear and effective written and verbal communication skills
  • Experience creating detailed reports and delivering presentations
  • Strong planning, organizational, and time management abilities
Benefits
  • alternative medicine coverage
  • flexible PTO
  • up to 16 weeks paid parental leave
  • paid holidays
  • 401k program
  • cell phone reimbursement
  • transportation perks
  • education reimbursement
  • 1 week of paid paw-ternity leave
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Javelinabusiness analysisproduct managementclaim adjudication processessystem solutions designrelease managementgap analysisuser acceptance testingdocumentationperformance monitoring
Soft Skills
interpersonal skillsfacilitationanalytical thinkingconceptual thinkingcommunication skillsplanningorganizational skillstime managementstakeholder feedbackcreativity
Certifications
Bachelor's degree