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.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health 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.