Lead Configuration Solutions Analyst

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Hybrid; USD 90,000 - 135,000; Full time

Benefits offered by this job

Hybrid work model

Health insurance

Job summary

Independence Blue Cross, LLC is seeking a Lead Configuration Solutions Analyst to champion end-to-end configuration strategies within Health Rules Payer and Front Office System platforms. You will translate business needs into efficient configuration, collaborate with Operations teams, and drive optimization across projects.

In this hybrid role, you will resolve tickets in ServiceNow, analyze operational data, and guide system releases while maintaining a global view of interfaces with claim,

Qualifications

• Bachelor's degree in related field preferred.
• HealthRules Payer experience required.
• 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 motivates others to support a culture of accountability/execution by setting clear expectations and measuring success though performance which will drive organizational results

Responsibilities

• Resolve tickets and enhancements in ServiceNow according to SLAs.
• Identify and implement process improvements across operations with business partners.
• Retrieve, analyze, organize, and report data to support decision making and optimization.
• Understand system changes and determine if new processes or configuration are required.

Skills

Analytical skills

Communication

Problem solving

Attention to detail

Global view

Education

Bachelor's degree in related field

Tools

Microsoft Office

Project management tools

Job description

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 wholeperson 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 endtoend 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 endtoend 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.)

A. 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

B. 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

A. Ticket Resolution

Focus on resolving tickets and enhancement requests in ServiceNow accurately according to SLAs

B. 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.)

C. 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

D. 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

Qualifications

• 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 problemsolving 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 TriState 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.

Qualifications

• 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 problemsolving 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

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.