Benefits Systems Analyst - Healthcare jobs in Pennsylvania

Benefits Systems Analyst - Healthcare implements and maintains benefits systems for managed care and provider data. Assigns the rate coding to ensure the system takes the appropriate discounts, per diems, case costs, and fee schedule. Being a Benefits Systems Analyst - Healthcare coordinates the implementation and verification of loading the fee schedules. Runs analysis to verify the accuracy of the system. Additionally, Benefits Systems Analyst - Healthcare leads the training of fee loading processes and ensures coding and schedules are accurate. May require a bachelor's degree. Typically reports to a supervisor. The Benefits Systems Analyst - Healthcare works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Benefits Systems Analyst - Healthcare typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Sr Business Systems Analyst (Healthcare)
  • Systems Staffing Group, Inc.
  • Philadelphia, PA FULL_TIME
  • Job Details

    MUST HAVE: Healthcare Payer experience including Medicare, Medicaid, CHIP.

    Residents of PA or the nearby states of DE or NJ. (This job operates in a remote setting. client allows employees to work remotely based on its determination that a remote work arrangement is appropriate based on client s business needs and the employee s ability to perform the job remotely in an effective manner. Should those business needs change, client reserves the right to change the remote working arrangement at any time. Client will provide a minimum notice of 60 days of any change in the remote working arrangement,)

    Expected to support waterfall, agile (scrum, kanban) approaches. For agile implementations, this role may act as Technical product owner, business systems analyst, team lead as needed to support business teams and coordinate with development teams.

    Senior business systems analyst analyzes business processes, partner with business stakeholders to document requirements, coordinate with business/technical teams for solution options and support implementation during development, QA & UAT.

    The role requires business analysis with critical thinking, problem definition, development of innovative solutions, identify automation opportunities and create reports, dashboards and visualizations to help others understand business needs

    Primary Responsibilities:

    • Document business needs and requirements, solution design, acceptance criteria, function/technical mapping and coordinate with testing teams to document QA test cases.
    • Communicate and validate requirements with relevant stakeholders.
    • Independently manages the completion of assigned tasks ensuring priorities and timelines are met - Typically, manages 4 - 5 projects, affecting multiple departments, with significant departmental cost and impact.
    • Supports system conversions and upgrades, contributes to the development of implementation plans, deployment and migration documents and provides support to facilitate system implementations.
    • Participates in internal and external audits, reviews and inspections.
    • Demonstrated technical and project coordination skills with the ability to coordinate and manage multiple, concurrent projects and to delegate responsibilities.
    • Develops test plans, quality assurance and audit procedures for new systems or system enhancements.
    • Demonstrated experience of implementing best practices in business systems analysis with tools, templates & process.

    Key Job Requirements:

    Education:

    • Bachelor s Degree (or higher) in information services or a related field is highly preferred
    • 5 years systems experience in managed care and/or healthcare/health insurance environment, including 2 years in a lead position having broad oversight of systems or operational functions.

    Experience:

    5 years of experience in IT and business/industry.

    Demonstrated experience in supporting Agile project experience & roles played

    Demonstrated experience of problem solving, creative solutions and influencing solutions

    Skills/Abilities:

    Experience in health plan systems is preferred.

    Communication skills with the ability to develop and communicate status, standards and other updates for key stakeholders.

    Ability to instill confidence in the business and demonstrate the business value of IT.

    Effective collaboration skills with technical, business teams

    Excellent verbal and written communication skills, including the ability to explain technical concepts and technologies to business leaders, and business concepts to the IT.

  • 1 Day Ago

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Benefits Analyst
  • Creative Benefits, Inc.
  • Newtown, PA FULL_TIME
  • Job Description: Benefit Analyst Department: Benefit Analyst FLSA Status: Exempt Reports to: Operations Manager- Benefit Services Employment Type: Regular, Full-Time Job Summary At Creative Benefits, ...
  • 25 Days Ago

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Management and Program Analyst
  • Veterans Benefits Administration
  • Philadelphia, PA FULL_TIME
  • This position is in the VA Regional Office (VARO). The incumbent is assigned to the Pension Management Center (PMC). The primary purpose of this position is to provide objectively based information fo...
  • 28 Days Ago

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Systems Analyst - IAM
  • Systems Limited
  • Pittsburgh, PA CONTRACTOR
  • : Ability to use Excel and other Microsoft Office tools to generate reports, conduct data analysis. Familiarity with different tools for managing work, ITSM Tools (Cherwell, ServiceNow, etc), SharePoi...
  • 2 Months Ago

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Business Systems Analyst III
  • Sunrise Systems, Inc.
  • Chesterbrook, PA FULL_TIME
  • Job Title: Business Systems Analyst IIILocation: Chesterbrook, PA 19087 (Fully Remote)Duration: 2 Years Long term AssignmentJob DescriptionWorking across multiple IT systems to assist with company reb...
  • 2 Days Ago

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SUPPLY SYSTEMS ANALYST
  • NAVSUP Weapon Systems Support
  • Mechanicsburg, PA FULL_TIME
  • DutiesSummaryYou will serve as a Supply Systems Analyst of the NAVSUP WSS Submarine and Maritime Industrial Operations Department (N97) Department Support Division (N972) within the NAVSUP WEAPON SYST...
  • 6 Days Ago

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Insurance Employee Benefits Analyst
  • Woodruff-Sawyer & Company
  • Lake Oswego, OR
  • Who We Are Woodruff Sawyer has been an industry leader for over 100 years. As a top insurance brokerage, our clients ran...
  • 6/2/2024 12:00:00 AM

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Benefits Analyst
  • Randstad USA
  • New York, NY
  • The Temporary Benefits Analyst will have main responsibility for supporting the administration and communication of bene...
  • 6/2/2024 12:00:00 AM

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Benefits Analyst
  • Toyota Material Handling
  • COMPANY OVERVIEW: Toyota Industries North America, Inc., an American Holding Company providing shared professional servi...
  • 6/1/2024 12:00:00 AM

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Benefits Analyst I
  • Transdev Inc.
  • Lombard, IL
  • About Transdev:Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate...
  • 5/30/2024 12:00:00 AM

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Benefits Analyst
  • Turnberry
  • Aventura, FL
  • Company Overview: Turnberry is a leader in the design, development, and management of multi-use real estate properties. ...
  • 5/30/2024 12:00:00 AM

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Employee Benefits Analyst
  • U.S. Retirement & Benefits Partners
  • Rochester, NY
  • COMPANY OVERVIEW U.S. Retirement & Benefits Partners (USRBP) is one of the largest independently owned insurance brokera...
  • 5/29/2024 12:00:00 AM

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Employee Benefits Analyst
  • World Insurance Associates LLC
  • Syosset, NY
  • Summary Paul Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a unique i...
  • 5/29/2024 12:00:00 AM

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Employee Benefits Analyst
  • Brown & Brown, Inc.
  • Houston, TX
  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
  • 5/29/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Analyst - Healthcare jobs
$60,447 to $81,154