Healthcare Systems Specialist

3 weeks ago

GondrecourtleChâteau, Grand Est, United States Prime Therapeutics Full time

**Overview of Our Company**

Prime Therapeutics is a fast-paced and dynamic company that is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

About the Role

We are seeking an experienced Business Analyst II to join our team. As a Business Analyst II, you will be responsible for serving as a liaison between departmental team business owners, end users, IT, Claims, and Clinical departments. You will respond to ad hoc requests for support, reports, and analysis. You will also support departmental management teams by providing trending and performance data, supporting special projects, maintaining and monitoring reporting queues and requests (if appropriate), and internal SharePoint sites.

Key Responsibilities

  • Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis, and testing using software development methodology to provide efficient, cost-effective solutions as directed.
  • Identifies the impact of solutions on existing and future systems.
  • Creates and maintains standard related reports to support operational and development needs.
  • Manages reporting and requests for ad hoc reports to support sales, implementation, new product development, and specials.
  • Queries data warehouse and internal databases and prepares user-friendly reports according to requestors' requirements.
  • Creates and maintains internal management tools and databases to support CQI, rates, workflow business rules, and system configuration, reimbursement, and document management requirements.
  • Develops and maintains project plans. Manages small to medium-sized projects, system enhancements impacting data management.
  • Conducts root cause analyses, gathering data to pinpoint problem areas on which to focus, validating that the analysis is data-driven, recommending and implementing solutions, and evaluating those results, and implementing controls to monitor consistent use of the solution.
  • Participates in design plans for implementation, produces user documentation, and training materials. May conduct end-user training.
  • Provides status reports that give a detailed description of the current project's progress and indicates time devoted to each task of the project; leads status meetings, creating agendas, and documenting meeting minutes as needed.
  • Identifies reporting needs based on system configuration and workflows and documents reporting requirements and testing of new reports in development prior to implementation to Production.
  • Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.

Requirements

  • Related professional experience in the managed care, healthcare, or insurance industries.
  • Analytical/problem-solving skills.
  • Excellent verbal and written communication skills.
  • Strong PC background and efficient in using standard software.
  • Knowledge of system process analysis and/or program management, estimating IT system development, and testing.

Estimated Salary Range: $55,270 - $88,430 per year, depending on experience and location.

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