Senior Business Configuration/Technical Operations Analyst (Hybrid/Troy, MI) - Health Alliance Plan
General Summary:
Provide senior level Facets configuration expertise to the Business Configuration Team. Utilizing system analysis and business knowledge, coordinate requests of the customer base and other IT departments related to identifying and implementing short and long-term corporate business needs in the Facets system. Provide business level oversight of the detail design, configuration, testing and maintenance, of these initiatives.
Principal Duties and Responsibilities:
Lead the planning and managing project activities of the assigned Team Members who evaluate the system impact of requests for enhancements, problem reports, and other special projects.
Lead the interpretation, analysis, and organization of information and data necessary to prepare recommendations for enhancements to system applications/vendors.
Establish and maintain contact with all assigned HAP departments to ensure that communication regarding workload and priorities is accomplished.
Lead/Participate in corporate initiatives, ensuring the promulgation of corporate needs and priorities is distributed throughout Customer areas, and IT via the corresponding team leadership.
Ensure continuous interaction with other IT departments to maintain data integrity and to assure coordination between IT efforts and the customer's needs, in order to expedite responses and resolution of system problems/issues.
Monitor project scheduling, completion and perform ongoing quality review checks to ensure a quality implementation.
Ensure that applications are designed and implemented based on finalized customer requirements.
Lead BCT members to ensure proper procedures are followed when requests are received for maintenance, enhancements, and new development.
Ensure that system specifications conform to Government Programs, and Regulatory Agency Standards.
Develop procedures to address areas where systematic compliance is not attainable.
Perform other related duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's Degree in Computer Science, Business Administration or related field.
- 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.
- Three (3) years of group configuration analysis and design.
- One (1) year experience with Facets preferred.
- Seven (7) years of Health Care related business experience preferred.
- One (1) year of in project leadership role preferred.
- 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.
- Demonstrated 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.
- Configuration expertise on Facets Version 5.9 on an Oracle platform.
- Understanding of healthcare industry and managed care concepts.
- Knowledge of Windows, Microsoft Excel, Powerpoint and Word, Client Server Data Base Structure, Project Management Tools, Query Tools (SQL, 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.
- Strong knowledge of Facets group, billing, class/plan configuration.
- Strong knowledge of HAP's PCP assignment rules and network configuration.
- Involvement with large configuration projects preferred.
- Knowledge of Salesforce and Sales Automation workflow processes preferred.
Technical Operations Department additional preferred qualifications:
- Knowledge of the healthcare industry.
- Knowledge of Facets Group structure fundamentals, including class/Plan, is required.
- Experience in open enrollment processes preferred (new Plan/Product creation, passive enrollment, Mass member transfer etc.).
- Skilled in SQL, PL/SQL Programming under Oracle 11g and Unix Korn Shell scripting.
- Experience in Python scripting and/or programming preferred.
- Knowledge of Facets Configuration Migration Utility (CMU) and Facets Security Management Tool (SMT).
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.
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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.