Lead Configuration Solutions Analyst

Independence Blue Cross; Philadelphia (Philadelphia County); Hybride; USD 90 000 - 130 000; Plein temps

Avantages offerts par ce poste

Hybrid work model

Résumé du poste

Independence Blue Cross seeks a Lead Configuration Solutions Analyst to design end-to-end configuration strategies for HealthRules Payer and related platforms. You will bridge business needs with technology, deliver configuration solutions, and collaborate across operations to improve processes and enable new products.

The role emphasizes strong analytical and communication skills, with a hybrid work model in the Tri-State area.

Qualifications

• Hospitality of strong analytical skills and the ability to convey complex ideas clearly
• Must have HealthRules Payer experience and healthcare background
• Proven problem-solving abilities to identify root cause and drive process improvements
• Experience collaborating across IT, business teams and management to implement solutions

Responsabilités

• Analyze feasibility and develop concepts for new business or product features
• Develop requirements and functional specs to meet business needs
• Collaborate with Operations teams to optimize Health Rules and Front Office System workflows
• Resolve tickets and drive process improvements across departments
• Support global data analysis and system releases impacting downstream processes

Connaissances

Analytical thinking

Communication skills

Project management

Formation

Bachelor’s degree

Outils

HealthRules Payer

Microsoft Office

ServiceNow

Project management tools

Description du poste

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

At Independence Blue Cross everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

The Lead Configuration Solutions Analyst works on end-to-end configuration solutions and provides optimization support to all Operations teams by bridging the gap between business and technology. This includes in depth benefit coding and analysis in HealthRules Payer.

Business Configuration Solutions – the Configuration Solutions Analyst is responsible for developing end-to-end configuration strategies of the Health Rules and Front Office System platforms. This requires knowledge and experience pertaining to the hierarchy of system and business rules and their integration and impact to other downstream applications. (i.e.: portals, BizTalk, vendor file feeds, DART, provider and enrollment database, CABs, etc.)

• Business Configuration Solution Delivery – Analyze, determine feasibility, and prove solution concepts for new business, operations enhancement requests, state and federal mandates, BPO/Partnership implementation or introduction of new products
• Projects and Requirements – Portfolio project work will be assessed, and if feasible, requirements and/or functional specs will be developed to meet the business need

Operations Support – The Lead Configuration Solutions Analyst is responsible for collaborating with their teammates and peers to improve business area daily processes and tasks within the Health Rules and Front Office System applications. Also responsible for determining system and process feasibility for new clients, lines of business, and/or products

• Ticket Resolution – Focus on resolving tickets and enhancement requests in ServiceNow accurately according to SLAs
• Process Improvements – Identify and define process improvements across operations with our business partners (sales/account management, claims, billing and enrollment, clinical services, IT, product, etc.)
• Operational Analytics – Retrieve, analyze, organize, report and configure data as needed to support decision making and optimization within the operations business areas. In addition, identifying global trends in operational issues
• System Releases – Understand system changes and impacts and determine if new processes or configuration is required

Responsibilities Include, But Are Not Limited To:

• Implement improved processes, best practices in configuration and management methods to generate higher ROI and workflow optimization
• Must have above average analytical skills
• Provide support to Configuration Solutions Analyst
• Must have a global view of interactions with other systems or business needs to determine levels of impact
• Demonstrated experience using Microsoft office products and project management tools
• Proven effective communication and analytical skills required to covey complex ideas and concepts to users, business systems analyst, IT and officer level management
• Must be detail oriented and understand corporate objectives. Ability to follow through on project life cycle while maintaining target deadlines. Must be able to develop contingency project plans

Qualifications - External

• Bachelor’s degree in related field preferred
• HealthRules Payer experience required. Candidate will not be considered if they don't have this experience.
• Experience in Healthcare required
• Proven problem-solving abilities that allow you to understand root cause, provide impact assessment, and follow through on process improvement to ensure there is no additional exposure for the organization/client
• Inspires and motivate others to support a culture of accountability/execution by setting clear expectations and measuring success though performance which will drive organizational results

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.