Business Configuration Analyst (Hybrid- Troy, Mi) - Health Alliance Plan

General Summary:
To work with, and coordinate the efforts of, the customer base and other Information Technology (IT) departments in identifying and implementing short and long-term corporate business needs for the Facets application. This level is expected to provide expertise in the detail design, configuration, testing, and ongoing maintenance of these initiatives.
Principal Duties and Responsibilities:

• Initiate the analysis of, and ensure adequate evaluation of, system impacts. Serve as the system expert for customer bases and IT departments.
• Prepare recommendations for enhancements to system applications/vendors.
• Coordinate BCT efforts and customer needs to ensure expeditious response and resolution of system problems/issues.
• Perform ongoing quality review checks to ensure a superior product for on-going production support.
• Responsible for the performance of the application software based on customer requirements and ensuring that systems conform to Government Programs, and Regulatory Agency Standards.
• Assist in the analysis and testing of new Facets releases while identifying the impact to interfaces for externally developed packages.
• Participate in corporate project meetings to disseminate the customer's needs and priorities to corresponding team leadership.
• Interact with other departments and divisions within HAP and HFHS to establish consistent interpretation of various policies and procedures throughout the system.
• Perform other related duties as assigned.

Education Required:

• Bachelor's degree in computer science or business administration.
• Related and relevant experience may be considered in lieu of academic requirements. Related experience is defined as six (6) years' experience in Health Care related business and/or claims processing system configuration.

Experience Required:

• Two (2) years of claims processing system configuration experience or demonstrated proficiency through relevant HAP specific business experience.

Preferred:

• Five (5) years of Health Care related business experience preferred.
• Knowledge of Facets claims processing with the ability to troubleshoot.

Skills and Abilities:

• Demonstrated ability to research, analyze, design, plan, organize, coordinate, implement, and perform necessary follow-up and closure procedures for system related projects.
• Demonstrated ability to collect and prepare data for written/oral presentations.
• Demonstrated ability to communicate effectively.
• Ability to interact with outside sources and maintain professional contacts.
• Excellent written and verbal communication skills are essential.
• Must be able to work effectively with persons of varying position levels and diverse interests.
• Understanding of healthcare industry and managed care concepts.
• Knowledge of a table-driven claims processing system.
• Knowledge of Windows, Microsoft Excel and Word, Query Tools (COGNOS, etc.) and Implementation/Administration of Packaged Claims Processing Applications.
• A high level of human relations skills.
• Ability to adapt to a constantly changing environment.

Physical Demands/Working Conditions:

• Typical office environment, may be hybrid.
• Sedentary - Exerts up to 10 lbs. of force occasionally to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time but may involve walking or standing for periods of time.
• Talking - Expressing or exchanging ideas by means of the spoken word.
• Hearing - Perceiving the nature of sounds.

Benefits Configuration
Additional preferred requirements

• Ability to Interpret Member and Group contracts and translate into Benefit configuration.
• Experience developing Service IDs, Supplemental Mapping, Service Rules, Variable Components, Product Component Configuration in Facets.