Healthcare/Facets 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/Experience 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.
Two (2) years of claims processing system configuration experience or demonstrated proficiency through relevant HAP specific business experience.
Five (5) years of Health Care related business experience preferred.
Knowledge of Facets claims processing with the ability to troubleshoot.
Experience with Facets NetworX Agreement Configuration preferred.
Experience with Medicare PPS Pricing Methodology preferred
Experience with configuring Optum PPS Modules to work in a Facets environment.
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.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
Â
Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.