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Medicare Business Systems Analyst

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Job Overview

Business Systems Analyst

Locations: Kansas City, MO; Chicago, IL; Boston, MA; Edina, MN | Hybrid

Georgia, Idaho, Kansas, Michigan, Mississippi, North Carolina, South Carolina | Remote

About the Team:

As an Associate with SS&C Health, you will be part of an organization that promotes better health outcomes for consumers through clinical and technological innovations. We leverage our robust technology foundation and powerful analytic resources to drive industry-leading clinical expertise and strategic pharmacy and healthcare solutions. You will join a team that redefines the value of pharmacy in healthcare through advanced analytics, clinical insights, and transformative digital capabilities.

What We Offer:

  • Flexibility: Hybrid Work Model & a Business Casual Dress Code, including jeans
  • Your Future: 401k Matching Program, Professional Development Reimbursement
  • Work/Life Balance: Flexible Personal/Vacation Time Off, Sick Leave, Paid Holidays
  • Your Wellbeing: Medical, Dental, Vision, Employee Assistance Program, Parental Leave
  • Diversity & Inclusion: Committed to Welcoming, Celebrating and Thriving on Diversity
  • Training: Hands-On, Team-Customized, including SS&C University
  • Extra Perks: Discounts on fitness clubs, travel and more

Key Responsibilities:

  • Oversees third-party vendor relationships and owns delivery of quality products and solutions
  • Works on a variety of issues where analysis requires evaluation of multiple factors, including business objectives and trends.
  • Adapts plans and priorities to address resource, operational, risk, and compliance challenges and opportunities within the functional area
  • Recommends policy and/or procedure changes so the Company remains in compliance with the ever-changing regulatory environment; defines department's operating standards.
  • Helps determine and assures adherence to appropriate budgets, schedules, work plans, and performance requirements.
  • Plans and prioritizes individual work to meet department commitments aligned with company goals and financial responsibilities.
  • Collaborates with cross-functional technical and business teams to ensure compliance and timeliness of projects and enhancements
  • Engages with Client Relations teams to provide support to customers

Requirements:

  • Must have experience with Medicare EOB and other Medicare Materials knowledge
  • Must be familiar with CMS Publications
  • Must understand lifecycle of Medicare Part D claims
  • Experience managing third-party vendor relationships is preferred
  • Experience with Medicare Communications and Guidelines highly preferred