Job ID:: 26277
Department:: Adm Operation Development
City:: Bloomington, MN
Location:: HP - Bloomington 8170 Office Bldg
Position Type:: Full-Time
Anticipated Work Schedule:: Monday through Friday 8:00 am. to 5:00 pm.
Hrs/Pay Period:: 80
Job Description::
The culture at HealthPartners is one of ownership, pride, service, and most importantly, partnership. That spirit of partnership among employees, and with patients and the community is just one of the many reasons we have been repeatedly named one of the Twin Cities best places to work by the Minneapolis/St. Paul Business Journal. Join us for a career that offers respect, support and encouragement. You’ll stay for the power of partnership.
Our continued growth has created an opportunity for a Business Systems Analyst to work with our Administrative Operations and Development (AOD) team. This position will be responsible for business systems production support activities for an assigned core health plan administrative system (membership, premium billing, claims, referral authorizations, or HRA/FSA administration). Participates in the implementation of system software fixes/enhancements aligned with defined business objectives. Serves as a liaison between internal team members from assigned business operations and Information Systems and Technology (IS & T) departments.
ACCOUNTABILITIES:
Knowledge Level:
1. Serves as a primary business systems contact for a single health plan core administrative system.
2. Possesses in-depth knowledge of assigned systems/business operation functions including: system functional capabilities, system outputs, and business processes and procedures.
3. Possesses a high level knowledge of system data structures and relevant federal and state regulatory requirements for assigned application.
Production Support:
1. Update assigned system dictionaries in a timely and accurate manner to support the accurate and timely processing of health plan administrative transactions.
2. Serve as a primary business systems production support contact to assigned internal business operations department(s) for questions related to system functionality capabilities and reporting of potential systems issues.
3. Communicate timely and accurate responses to system capability inquiries.
4. Participate in the daily monitoring of assigned core administrative system. Evaluate assigned system outputs and daily performance results in effort to quickly identify potential system issues or potential improvements to current automated or manual systems or processes.
5. Review system or business process improvement suggestions with Supervisor/Manager.
6. Perform necessary investigations related to reports of potential system issues. If issue is identified, develop problem resolution recommendation(s). This includes entry/maintenance of investigation information into systems tracking software.
7. Review investigation findings and, if needed, proposed problem resolution recommendation(s) with business operations and IS & T staff.
Core Administrative System Fixes/Enhancements:
1. Serve as business systems project lead for implementation of low-risk system enhancements/fixes*. Responsible for planning, organizing, scheduling and directing these initiatives. Responsible for project completion within expected budgetary, time, and staffing limits.
2. Serve as key team participant on larger systems fixes or development projects as assigned by AOD Management.
3. Create business requirements document for low-risk system fixes/enhancements and obtains required business requirements sign-off from business operations and IS & T staff.
4. Review IS & T technical systems design recommendations to validate that system functionality is in alignment with business requirements.
5. Assists in the evaluation of potential operational impacts and works with business operations staff in identifying and documenting changes to current business workflows.
6. Develop systems testing strategy and test plan documents, including identification of required test scenarios and expected results. Review test plan with business operations staff to validate accuracy of test plan.
7. Conduct required business user system testing and, if needed, review results with business operations and IS & T contacts to obtain final user acceptance testing sign-off.
8. Work with IS & T and business operations staff to identify implementation tasks and schedule date for system fix/enhancement installation. Analysts may participate in the development of training manuals and train business users how to properly use system applications.
9. Develop post-implementation strategy and conduct monitoring to validate successful implementation of system fix/enhancement.
* Low risk system fix/enhancement requires less than 120 hours of IS & T programming time and does not affect multiple system applications.
Other
1. Maintains excellent working relationships with internal business customers, IS & T team members, department team members, and project sponsors.
2. Supports departmental and division team through participation in appropriate meetings and projects.
3. Position requires a high degree of initiative to manage priorities and identify opportunities for systems improvement and innovation. Responsible for continued professional development, including continuing education to ensure their systems and business operations knowledge is current.
4. Performs other duties and assumes projects as assigned by AOD Management team.
REQUIRED QUALIFICATIONS:
* Two or more year’s general business experience or experience in medical insurance or health care setting, including project planning and participatory experience with simple to medium level projects.
* Familiarity with continuous quality improvement and system development methodologies.
* Demonstrated analytical, facilitation, presentation and communications skills (oral & written).
* Ability to deal with ambiguity and changing priorities.
* Strong customer/client service orientation.
* Ability to take responsibility for one’s own performance and attitude on the job.
* High degree of initiative.
PREFERRED QUALIFICATIONS:
* Bachelor’s degree in Health Care Management, Business Administration, Computer Science or related field, including computer science course work.
* One year professional or equivalent level experience with computer systems may be substituted for college level computer science course work.
* One or more years of business operations experience in medical claims, enrollment, premium billing or referral authorizations functions.
* Experience using MS Office applications, flowcharting tools, and/or other project management tools.
* Experience in test plan development and execution.
* Fourth generation program language experience (i.e. SQL, Oracle Reports, Visual Basic, Business Objects, etc.).
HealthPartners, nationally acclaimed for providing outstanding patient care, offers a comprehensive benefits package. To see a complete job description and/or to apply for this position, please visit www.healthpartners.jobs, click on job opportunities and search for Job ID # 26277.
Health is what we do. Partnership is how we do it.
EOE
Nearest Major Market: Minneapolis
Job Segments: Systems Analyst, Claims, Database, Oracle, Law, Technology, Insurance, Legal
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