Business Analyst Senior-NV

Company: Intermountain Healthcare
Location: Las Vegas
Posted on: February 22, 2021

Job Description:

Job Description:The Business Analyst III is responsible for and will lead the plan and contract build team in the system and claims editing system (CES) application. This position will be accountable for and have oversite for setting up the correct system parameters for accurate claims processing and payment. This position is responsible to work with leadership and corresponding departments to establish the planning, monitoring, support and auditing of the day to day productivity of the team.ESSENTIAL FUNCTIONS

• Responsible for quality and continuous improvement within the job scope.
• Responsible for all actions/responsibilities as described in company controlled documentation for this position.
• Contributes to and supports the corporation's quality initiatives by planning, communicating, and encouraging team and individual contributions toward the corporation's quality improvement efforts.
• Interface regarding all HealthCare Partners systems for which the department has associated responsibilities.
• Technical expert for department staff regarding all associated systems and programming requirements.
• Interface with system architect to update system functions such as but not limited to claims queues, audit queues, medical referral rules, claims rule, data transmissions, file transfers, system upgrades and enhancements, and multiple system interfaces.
• Perform business analysis across systems and business divisions.
• Act as the technical expert for CES and the CBU plan and contract build team regarding all associated systems and programming requirements.
• Perform system integrity audits on provider adds/changes, plan builds, contract changes and contract additions.
• Responsible to prepare ongoing reports which reviews the effectiveness of the plan and contract build team and assures turnaround of builds are timely
• Responsible to manage, communicate and work all assigned tasks within a reasonable time frame
• Responsible to lead a team and work under tight time frames as directed by the department manager in order to meet production goals as required for business needs
• Responsible to set production goals, monitor results and communicate them to team members
• Responsible to train team members on all aspects of IDX and CES as it relates to plan and contract builds, audits and testing
• Other duties as assignedEXPERIENCE REQUIREMENTS
  • 1 years of supervisory or management experience is preferred
  • 5 years of MCA IDX experience preferred
  • 3 - 5 years of managed care systems experiencedEDUCATIONAL REQUIREMENTS
    • Certificate in information systems with equivalent experience is required
    • Bachelor's degree in information systems is preferredKNOWLEDGE, SKILLS, ABILITIES
      • Ability to work in team environment
      • Ability to transfer knowledge and information to other staff members
      • Ability to cope with fluctuating demands of an uneven workload
      • Ability to organize, write, and present information both formally and informally to various personnel and groups
      • Knowledge of one or more report writing tools including but not limited to DBMS, MUMPS, crystal reports, SQL, Business objects, windows, and access
      • Knowledge of various plan and contract build system setupsPhysical Requirements:Location:Warm Springs 700 OfficeWork City:Las VegasWork State:NevadaScheduled Weekly Hours:40 Posted 7 Days Ago Full time R9271 About Us Being a part of Intermountain Healthcare means joining a world-class team of over 38,000 employees and caregivers while embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: Helping people live the healthiest lives possible. Our patients deserve the best in healthcare, and we deliver. To find out more about us, head to our career site here . ADA Statement: Intermountain Healthcare strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Equal Opportunity Employer Intermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply. Thanks for your interest in continuing your career with our team!

Keywords: Intermountain Healthcare, Las Vegas , Business Analyst Senior-NV, Professions , Las Vegas, Nevada