Customer Implementation Analyst - HNAS

Highmark Health
8d$25 - $38Remote

About The Position

JOB SUMMARY This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related 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. 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.

Requirements

  • 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
  • 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

Nice To Haves

  • Associate’s Degree in Healthcare Administration, Business, Information Science or other related field
  • 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
  • ZELIS/RedCard experience along with reading and interpreting code within the health insurance space

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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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