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Internal Business Systems Analyst

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Job Details
Job Order Number
JC173585011
Company Name
Highmark Health
Physical Address

Wilmington, DE 19893
Job Description

Company :

Hm Health Solutions Inc.

Job Description :

JOB SUMMARY

This job performs business analysis and platform consulting tasks by supporting stakeholders of projects and specific system application(s), handling user and internal inquiries/issues, and enhancements to the system. The incumbent has a deep understanding of a specific application or set of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and through analysis, determines solutions to the issue(s). Works with stakeholders to identify solutions that may include training, a process change, or modifications to business rules. Traces business requirements through to test plans and cases, reducing time to fix issues and identify anomalies. The incumbent interfaces with clients, PMs, management, and positions that are directly involved in the hard-key programming of applications as roles involved in the analysis of the overall business process(es). Uses functional and organizational knowledge to mentor junior resources.

ESSENTIAL RESPONSIBILITIES

+ Work with customers, Application Developers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as department level resource and project plans, status reports, ticket updates, personalization to different clients, and user interface design.

+ Participate in the full project life cycle by actively participating on project teams based upon experience and need.

+ Address inbound and outbound communications for assigned scrum teams so the teams can focus on coding/testing/etc. This includes representing respective scrum teams on project status meetings.

+ Support various aspects of requirements testing (e.g. testing plan, testing scenarios, testing scheduled, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized

+ Ensure compliance for required standards (e.g. SOC 2) and obtainment of all necessary approvals throughout the project life-cycle.

+ Run system reports and/or create ad-hoc reports, pulling data from various sources to support departmental activities such as demand/capacity planning. Analyze reports to ensure system performance and/or results.

+ Effectively communicate with team members, customers, partners, and management by reporting project/enhancement/ticket status, enabling vendor solutions, and providing accurate and concise documentation.

+ Assist in coordinating the monthly and ad-hoc care management releases.

+ Other duties as assigned.

EDUCATION

Required

+ High School Diploma/GED

Substitutions

+ None

Preferred

+ Bachelor’s Degree in Information Systems or Business Administration/Management

EXPERIENCE

Required

+ 3 – 5 years in a relevant operational area (e.g. customer service, claims, enrollment and billing, etc.) to include 1 – 3 years of technical application experience

Preferred

+ 1 – 3 years in Project Management

+ 1 – 3 years in the Health Insurance Industry

+ 1 – 3 years in the Healthcare Industry

+ 1 – 3 years in Lean/Six Sigma

LICENSES AND CERTIFICATIONS

Require

+ None

Preferred

+ (Lean) Six Sigma

+ Project Management Professional (PMP)

SKILLS

+ Leadership

+ Process Improvement

+ Analytical Skills

+ Problem-Solving

+ Communication Skills

+ Presentation Delivery

+ Customer Service

+ Strategic Thinking

Language (Other than English)

None

Travel Required

0% – 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Rarely

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Rarely

Lifting: 10 to 25 pounds

Never

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.


Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice at https://cdn-static.findly.com/wp-content/uploads/sites/1292/2019/12/CCPA-Notice.pdf

Req ID: J167476


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