Systems Analyst Advisor - Commercial Risk Adjustment

Skip to main contentWe care about your privacyBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyze site usage and to personalize your experience.Read Full Privacy MessageDeclineAccept CookiesCareers at Elevance HealthEnglishSign InSystems Analyst Advisor - Commercial Risk Adjustment page is loadedSystems Analyst Advisor - Commercial Risk AdjustmentApplylocationsVA-RICHMOND, 2015 STAPLES MILL RD,GA-ATLANTA, 740 W PEACHTREE ST NWVA-ROANOKE, 602 S JEFFERSON STIN-INDIANAPOLIS, 220 VIRGINIA AVEFL-TAMPA, 5411 SKYCENTER DR, STE 700 & 800View All 6 Locationstime typeFull timeposted onPosted 5 Days Agotime left to applyEnd Date: July 24, 2026 (2 days left to apply)job requisition idJR198890Anticipated End Date:2026-07-24Position Title:Systems Analyst Advisor - Commercial Risk AdjustmentJob Description:System Analyst Advisor - Commercial Risk AdjustmentLocation: Hybrid1: This role requires associates be in the 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.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.The System Analyst Advisor supports Commercial Risk Adjustment CMS submissions and related regulatory reporting initiatives. This role is responsible for analyzing complex data, developing automated data solutions, and ensuring the accuracy, integrity, and timeliness of data used for CMS submissions. The position also supports CMS and federal audit requests by analyzing data, responding to CMS inquiries, validating results, and providing documentation to meet regulatory requirements.As part of the organization's data modernization strategy, this role will support the migration of legacy SQL and SAS processes to Snowflake and other cloud-based technologies. The ideal candidate is a proactive, self-directed professional who takes ownership of work, performs deep-dive analysis, identifies opportunities to automate and improve processes, and quickly adapts to new technologies with minimal direction.How you will make an impact:Support end-to-end Commercial Risk Adjustment CMS submissions, including data analysis, validation, issue resolution, submission support, and post-submission activities to ensure compliance with CMS requirements.Support CMS and federal audits by performing data analysis, validating results, responding to CMS inquiries, and providing required documentation.Independently investigate complex data issues and develop SAS and SQL solutions to support regulatory reporting and business needs.Support User Acceptance Testing (UAT) for system enhancements, defect fixes, and other initiatives impacting CMS submissions.Develop, maintain, and automate data extraction, validation, reporting, and reconciliation processes using SQL and SAS.Write, optimize, and maintain complex SQL and SAS programs and queries.Perform deep-dive analysis to identify trends, root causes, data quality issues, and opportunities for operational improvement.Support the migration of existing SQL and SAS processes, reports, and data workflows to Snowflake and other modern cloud-based technologies.Analyze existing code and business processes to recommend scalable, efficient solutions during modernization and migration efforts.Partner with business and IT teams to evaluate system changes, assess impacts to CMS submissions, and implement effective solutions.Proactively identify opportunities to automate manual processes, improve data quality, and increase operational...