HCS Technical Rules Analyst

WorkSafeBC; Richmond; Hybrid; CAD 30,000 - 60,000; Full time

Job summary

A provincial workers' compensation board is seeking a Technical Rules Analyst to develop business rules for automated claims processing. This role requires experience in business analysis and strong communication skills, with a focus on bridging business and technical needs. The position offers a hybrid work model based in Richmond, with competitive compensation and benefits after a year of service.

Benefits

4% extra salary in lieu of benefits

3 weeks of vacation after 1820 hours

Extensive health care and dental benefits

Sick leave and long-term disability coverage

Qualifications

• Minimum of three years of experience in business analysis or data analysis.
• Experience in healthcare is an asset.
• Strong understanding of business and technical communication.

Responsibilities

• Develop and maintain rules for claims adjudication engine.
• Lead committees for implementing rule changes.
• Develop communication strategies for system updates.

Skills

Project management

Communication skills

Data presentation

Analytical thinking

Education

Degree in business administration or related field

Tools

MS Excel

Tableau

SQL

Job description

Overview

Our Health Care Operations department is looking for a Technical Rules Analyst to coordinate the development and implementation of business rules that drive our automated claims adjudication engine that ensures correct health care payments for services to injured workers.

In this role, you\'ll be a bridge between the business side and technical side of our claims management system, translating business policies into formal specifications for the development and operation of our health care technical systems.

This opportunity is temporary for 12 months.

How you\'ll make a difference: You\'ll help protect the financial integrity of B.C.\'s workers\' compensation system, ensuring we serve British Columbians now and in the future.

Where you\'ll work

At WorkSafeBC, we offer a hybrid work model that combines working remotely, and in our offices based on the operational needs of the position.

For this position, the successful candidate is required to work 2 days per week in our Richmond office.

What you\'ll do

• Develop and maintain rules, based on business requirements, that drive an automated claims adjudication engine
• Lead cross-divisional working committees to review and implement rule changes
• Develop communication strategy for distributing information to support change and updates to the claims management system
• Provide input into contract negotiation, development, and proposed service delivery changes to health care programs, identifying the potential implementation impact to the technical systems that support the programs
• Consult on and implement projects by preparing schedules for program enhancements, identifying requirements, milestones, and dependencies, developing comprehensive test plans, and measuring expected results
• Provide work direction to the technical rules administrator

Is this a good fit for you?

We\'re looking for someone who can:

• Plan, prioritize, coordinate, and monitor complex and concurrent activities and projects to consistently meet deadlines in a changing environment
• Take initiative, provide leadership, delegate and monitor work
• Understand business requirements and technical information and communicate clearly to business and technical audiences, verbally and in writing
• Apply project management techniques, including planning, analyzing, implementing, monitoring, and follow-up
• Present data using MS Excel and Word

Your background and experience

• A degree in business administration or a related field
• A minimum of three years of experience in business analysis, data analysis, or business information analysis, where you created technical rules based on business requirements
• Experience in healthcare is an asset
• Experience presenting data using MS Excel PowerPoint and Word
• Working knowledge of Tableau and / or SQL is an asset

We\'ll consider an equivalent combination of education and experience.

Important to know

Before we can finalize any offer of employment, you must:

• Confirm you\'re legally entitled to work in Canada

Who we are

At WorkSafeBC, we promote safe and healthy workplaces across British Columbia. We partner with workers and employers to save lives and prevent injury, disease, and disability. When work-related injuries or diseases occur, we provide compensation and support injured workers in their recovery, rehabilitation, and safe return to work. We\'re honoured to serve the 2.49 million workers and 263,000 registered employers in our province.

What\u2019s it like to work at WorkSafeBC?

It\'s challenging, stimulating, and rewarding. Our positions offer diversity and opportunities for professional growth. Every day, the work we do impacts people and changes lives. What we do is important, and so are the people we do it for.

Our ability to make a difference relies on building a team with a rich variety of skills, knowledge, backgrounds, abilities, and experiences that reflects the diversity of the people we serve. We are committed to fostering a welcoming, inclusive, and supportive work culture where everyone can contribute as their best, authentic self.

Learn more: Discover who we are.

Our benefits

As a member of our team, you\'ll have access to services and benefits that help you get the most out of work - and life. Along with a competitive salary, your total compensation package includes:

Extra 4% of your salary in lieu of benefits and 4% in lieu of vacation from the day you start.

Once you\'ve worked for 1820 hours (approximately 12 months), you\'ll switch to getting:

• 3 weeks of vacation with regular increases based on years of service
• Extensive health care and dental benefits
• Sick leave and long-term disability coverage

Learn more: Find out what we offer.

Want to apply?

• Applications are welcomed immediately, however must be received no later than 4:30 p.m. PST on the closing date.
• Please note that we will be starting assessments prior to the closing date.

We encourage all qualified applicants to apply. If you require an accommodation in the assessment process, please email Recruitment Testing Accommodation (SM) when you submit your application