Programmer Analyst

Brighton Health Plan Solutions; Village of Westbury (NY); Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Brighton Health Plan Solutions in Westbury, NY is seeking a Programmer Analyst to support critical healthcare claims processing applications within a hybrid work environment. The role focuses on SDLC, SQL, and leveraging AI tools for code prototyping and development.

Responsibilities include gathering requirements, data transformation, designing technical specs, configuring benefits and provider rates, and collaborating with offshore teams to ensure timely, quality project delivery.

Qualifikationen

• Undergraduate degree in IT, Healthcare IT and/or progressive experience.
• Familiar with AI for code generation; Agent’s usage preferred.
• 1–3 years of experience in application development, programming, or systems analysis.
• Familiar with Healthcare EDI 800 and 200 series transactions.

Aufgaben

• Gather and analyze requirements to build solution designs
• Handle data transformation activities
• Analyze business requirements and translate into technical specifications
• Program provider rate builds and manage rate changes
• Program benefit configuration and manage changes
• Troubleshoot, debug, and resolve application issues promptly
• Collaborate with system vendors to add features
• Work with IT and non-IT to complete tasks
• Participate in upgrades, releases, and deployments
• Coordinate with offshore teams to deliver projects on time and quality

Kenntnisse

SDLC understanding

AI for code generation

SQL queries

Healthcare TPA experience

EDI transactions

Analytical skills

Communication

Attention to detail

Ausbildung

Undergraduate IT/Healthcare IT degree

Tools

MS Office

Excel

MS Access

MS SQL Server Management Studio

Jobbeschreibung

About The Role

We are looking for a motivated and energetic Programmer Analyst who possesses a basic understanding of the software development lifecycle, working knowledge of SQL and database concepts, and familiarity with AI technologies, including the use of agents to assist with code prototyping and development. The successful candidate will join our application support team supporting critical healthcare claims processing applications.

Brighton Health Plan Solutions

Westbury, NY – Hybrid

Full Time

About The Role

We are looking for a motivated and energetic Programmer Analyst who possesses a basic understanding of the software development lifecycle, working knowledge of SQL and database concepts, and familiarity with AI technologies, including the use of agents to assist with code prototyping and development. The successful candidate will join our application support team supporting critical healthcare claims processing applications.

Primary Responsibilities

• Be able to gather and analyze requirements to build solution designs
• Effectively handle the data transformation activities
• Analyze business requirements and translate them into technical specifications
• Program new provider physician rate builds, hospital contracts and manages ongoing rate changes
• Program new benefit configuration and manage ongoing benefit changes
• Troubleshoot, debug, and resolve application issues in a timely manner.
• Interact with system vendors to enhance applications with new features and functionality
• Collaborate with IT and non-IT personnel to complete required tasks
• Participate in application upgrades, releases, and deployment activities.
• Collaborate effectively with offshore development and support teams to deliver projects, coordinate development activities, review deliverables, resolve issues, and ensure adherence to project timelines and quality standards.

Essential Qualifications

• Preferred 1-3 years of experience in application development, programming, or systems analysis.
• Strong understanding of software development lifecycle (SDLC) methodologies.
• Familiar with use of AI for code generation; Agent’s usage preferred
• Experience with SQL queries that includes but not limited ability to extract the data, triaging, update and insert functions
• Preferred prior experience in Healthcare TPA or insurer environment working with the claims adjudication and ancillary applications.
• Preferred familiarity with Healthcare EDI transactions including 800 and 200 series
• Self-motivated and capable of independently learning new technologies, business processes, and technical skills with minimal supervision.
• Ability to understand complex HealthCare payment rules and design, build and implement system accordingly
• Communicate effectively with internal and external stakeholders
• Strong attention to detail and perform consistent work product validation/QA
• Strong analytical skills

Educational Qualifications

• Undergraduate degree in IT, Healthcare IT and/or progressive experience.

Technical Qualifications

• Familiar with MS Office suite products
• Proficient on Excel and MS Access
• Proficient in MS SQL Server Managed Studio
• Familiarity with newer technologies with AI.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare.

Company Mission

Transform the health plan experience