Highmark Health
Customer Implementation Analyst - HNAS
Highmark Health, Washington, District of Columbia, us, 20022
Company
Highmark Inc.
Job Summary
This job collaborates with internal stakeholders to understand moderate to complex business requirements and processes related to client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data.
Role Overview
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role.
ESSENTIAL RESPONSIBILITIES
Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities. Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs. Document and execute medium-to-complex product and benefit configuration rules. Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process. Assist in development of testing plan, scenarios, and documentation to ensure high quality of product. Perform both end-to-end and user acceptance testing to ensure high quality of product. Other duties as assigned or requested.
EDUCATION
Required High School Diploma/GED
Substitutions None
Preferred Associate’s Degree in Healthcare Administration, Business, Information Science or other related field
EXPERIENCE
Required 3 - 5 years of experience in health care industry or other related field 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures
Preferred 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred 3 - 5 years of experience with client, product, and/or benefits configuration techniques
LICENSES AND CERTIFICATIONS
Required None
Preferred None
SKILLS
Excellent detail-oriented skills Good customer service skills with moderate experience working with customers, sales, and/or clients High proficient oral and written communication skills Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts
TRAVEL REQUIREMENT
0% - 25%
PAY RANGE
Minimum
$24.53 Maximum
$38.00
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
EEO STATEMENT
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.
#J-18808-Ljbffr
Highmark Inc.
Job Summary
This job collaborates with internal stakeholders to understand moderate to complex business requirements and processes related to client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data.
Role Overview
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role.
ESSENTIAL RESPONSIBILITIES
Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities. Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs. Document and execute medium-to-complex product and benefit configuration rules. Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process. Assist in development of testing plan, scenarios, and documentation to ensure high quality of product. Perform both end-to-end and user acceptance testing to ensure high quality of product. Other duties as assigned or requested.
EDUCATION
Required High School Diploma/GED
Substitutions None
Preferred Associate’s Degree in Healthcare Administration, Business, Information Science or other related field
EXPERIENCE
Required 3 - 5 years of experience in health care industry or other related field 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures
Preferred 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred 3 - 5 years of experience with client, product, and/or benefits configuration techniques
LICENSES AND CERTIFICATIONS
Required None
Preferred None
SKILLS
Excellent detail-oriented skills Good customer service skills with moderate experience working with customers, sales, and/or clients High proficient oral and written communication skills Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts
TRAVEL REQUIREMENT
0% - 25%
PAY RANGE
Minimum
$24.53 Maximum
$38.00
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
EEO STATEMENT
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.
#J-18808-Ljbffr