Benefits Systems Analyst - Healthcare jobs in the United States

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)

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Sr. Business Systems Analyst – Benefits Architect (Healthcare)
  • High5
  • Carolina, NC CONTRACTOR
  • Job Title: Sr. Business Systems Analyst – Benefits Architect (Healthcare)

    Location: Remote

    Pay rate: $30/hr to $38/hr

    Duration: 26 W

    Responsibilities

    Job Description:

    • Strong functional/technical knowledge and expertise with relevant systems/applications

    in the healthcare benefits area.

    • Experience of working with qualified Health Plans, and various segments/LoBs, Group

    level Product and benefit plans.

    • Defines, evaluates, and validates requirements, business functional design, and technical

    design for complex business issues within their domain areas.

    • Knowledge of Benefits1 Simplify Healthcare and other cloud-based systems

    (Highroads, PEGA, Salesforce, etc.), Queries, and SQL.

    • Knowledge of working on Facets is a plus
    • Provide advanced technical knowledge and support in system/application and

    procedural issues to the business and IT.

    • Proactive and independent worker with a team mindset, collaborates well with others,

    and has an open mind to change.

    • Provide advanced technical knowledge and support in system/application and

    procedural issues to the business and IT.

    • Analyze and develop solutions and applicable business processes for business systems

    while identifying and quantifying the business impact of those solutions to ensure

    quality, cost effectiveness, timeliness, and customer service, including the resolution of

    large, complex production system problems.

    • Provide systems analysis expertise and regularly considers the business implications of

    the application of technology to the current business environment.

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    • Defines, evaluates, and validates requirements, business functional design, and technical

    design for complex business issues within their domain areas.

    • Configure and maintain critical system tables and data elements across multiple system

    environments.

    • Analyze, develop, and implement configuration changes to improve system performance

    and user efficiency.

    • Coordinate the development of system support processes with IT; coordinate to resolve

    production support issues, including application failures and user errors; document,

    track and report all system support activities.

    • Ensure efficiency of reporting and data tools for supported business area use and for

    trend analysis.

    • Function as a Business Lead/Coordinator on large, complex departmental and/or some

    corporate projects/initiatives.

    • Serve as point of contact for business testing activities and influence testing strategy to

    ensures testing will appropriately meet business requirements.

    • Train/coach others on appropriate testing protocol, execution, and test plan creation.
    • Assist IT and help identify business area impacts for hardware and software upgrades,

    security changes, and architectural enhancements as needed.

    Qualifications, Minimum Qualifications

    • Knowledge of Benefits1 Simplify Healthcare and other cloud-based systems

    (Highroads, PEGA, Salesforce, etc.), Queries, and SQL.

    • Undergraduate degree with 5 years of direct application/systems analysis experience with

    applicable business system or application, if no degree, 7 years’ experience as stated above.

    • 5 years Experience in Healthcare Industry with focus on benefits (benefits, claims,

    membership, enrollment, Customer Service etc.)

    • Understanding for FACETS application (front end and back end)
    • Provide advanced technical knowledge and support in system/application and procedural

    issues to the business and IT.

    • Proactive and independent worker with a team mindset, collaborates well with others, and

    has an open mind to change.

    • Project Management Skills
    • Very good communication and facilitation skills to communicate with multiple stakeholders

    and leadership

    Preferred Skills

    • Strong facilitation skills that include workgroup leadership and/or problem resolution

    across multiple groups.

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    • Project management skills.
    • Excellent oral and written communication skills.
    • Excellent presentation skills.
    • Focus on accuracy and attention to detail.
    • Solid PC skills with MS Word, Excel and PowerPoint.
    • Excellent analytical and problem-solving skills, including ability to interpret and present

    quantitative data.

    • Ability to prioritize and successfully coordinate work of others.
  • 8 Days Ago

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Healthcare
  • CJC Benefits LLC
  • Newark, DE FULL_TIME
  • Healthcare has changed dramatically !!!!!!!! We are looking for talented sales folks that are experienced with selling to small businesses as well as individuals. We are looking for 10 new part time t...
  • 2 Days Ago

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Supply Chain - Information Systems Analyst
  • Information Systems Analyst in Baltimore, MD - LifeBridge Health
  • Baltimore, MD FULL_TIME
  • Summary JOB SUMMARY: Under the general direction of the Supervisor for Supply Chain Informatics, the Sr. Analyst will be responsible for implementation, enhancement and support of the Supply Chain Man...
  • 1 Month Ago

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Benefits Analyst
  • Creative Benefits, Inc.
  • Newtown, PA FULL_TIME
  • Job Description: Benefit Analyst Department: Benefit Analyst FLSA Status: Exempt Reports to: Operations Manager- Benefit Services Employment Type: Regular, Full-Time Job Summary At Creative Benefits, ...
  • 22 Days Ago

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Benefits Analyst
  • Ohio Laborers Benefits
  • Westerville, OH FULL_TIME
  • Ohio Laborers Benefits is looking for a Benefits Analyst to join its Insurance Department. The position will be responsible for handling calls for over 35,000 members and dependents and assisting in t...
  • Just Posted

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Healthcare Systems Analyst
  • Stefanini North America and APAC
  • Grand Rapids, MI CONTRACTOR
  • Stefanini Group is hiring!Stefanini is looking for Healthcare Systems Analyst—100% Remote RoleFor quick Apply, please reach out to Ayush Dwivedi- call: 248 728 2636/ email: Ayush.dwivedi@stefanini.com...
  • Just Posted

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Controller
  • Columbus College of Art and Design
  • Columbus, OH
  • Controller CCAD's Business Office is seeking an experienced accounting professional to fill the role of Controller. Idea...
  • 5/31/2024 12:00:00 AM

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Renewables - Senior Electrical Energy Storage Engineer
  • Ascent Services Group
  • Columbus, OH
  • Innova Solutions is immediately hiring for an Renewables - Senior Electrical Energy Storage Engineer Position Type: Full...
  • 5/31/2024 12:00:00 AM

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Ideation Lead - Operational Excellence
  • Bread Financial Holdings, Inc.
  • Columbus, OH
  • Every career journey is personal. That's why we empower you with the tools and support to create your own success story....
  • 5/31/2024 12:00:00 AM

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Payroll Specialist
  • Canon USA & Affiliates
  • Columbus, OH
  • **Payroll Specialist - req1194** **OVERVIEW** The Payroll Specialist assists the finance department with day-to-day, mon...
  • 5/30/2024 12:00:00 AM

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HR Analyst
  • Hiring Now!
  • Groveport, OH
  • Hiring Company: Frank Brunckhorst Co., LLCOverview:Reporting directly to the Human Resources Manager, the responsibility...
  • 5/29/2024 12:00:00 AM

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Director Supply and Inventory Planning
  • Orveon
  • Columbus, OH
  • About Us Orveon is a new kind of beauty company launched in December 2021 when we acquired our three iconic brands - bar...
  • 5/28/2024 12:00:00 AM

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Human Resources Analyst (Vacancies)
  • City of Columbus
  • Columbus, OH
  • Human Resources Analyst (Vacancies) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/4501648) Appl...
  • 5/27/2024 12:00:00 AM

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HR Analyst
  • Boar's Head Brand/Frank Brunckhorst Co., LLC
  • Groveport, OH
  • Hiring Company: Frank Brunckhorst Co., LLC Overview:Reporting directly to the Human Resources Manager, the responsibilit...
  • 5/27/2024 12:00:00 AM

Income Estimation for Benefits Systems Analyst - Healthcare jobs
$60,569 to $81,317

Career Path for Benefits Systems Analyst - Healthcare