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)
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:
Key Job Requirements:
Education:
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
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.