[Hiring] Senior Claims Systems Analyst @Gravie

Role Description

We’re looking for a Senior Claims Systems Analyst to support our Health Plan Administration function. As a subject matter expert on our claims processing system (Javelina) and its associated vendor integrations, you will lead workstreams within large-scale, technically complex projects. You’ll oversee the seamless implementation and rigorous testing of system changes across vendor platforms, ensuring alignment with internal systems, data integrity, and compliance with performance metrics. Additionally, you will design and manage a comprehensive issue and defect management framework, including request prioritization, root cause analysis, and troubleshooting, to optimize system functionality and mitigate risks.

• 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.

Qualifications

• 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

Requirements

• Previous start up company experience
• Stop Loss experience
• Business Analyst or Product Owner certification
• Project Management and/or Scrum Master Certification
• Six Sigma Green Belt certification

Benefits

• Great overall employee experience with opportunities for career growth
• Meaningful mission-driven work
• Above average total rewards package
• Standard health and wellness 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