Business Analyst II
McLaren, Flint, MI, United States
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Business Analyst II, to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Position Overview
At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems, including benefits and pricing requirements for claims processing systems. Develops and maintains financial, management, standard production, customer, regulatory and ad hoc reports. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test conditions, creates test plans, and conducts tests to ensure business and reporting requirements are met. Responsible for change management of above systems and reports and coordinates all routine maintenance and upgrades. Monitors performance of such systems and reports and informs leadership of deficiencies and/or makes recommendations for increased functionality.
Qualifications
Required:
Bachelor’s degree in business, computer science, health care or related field; or Associate degree/IT certification and two (2) years related experience; or High School diploma and four (4) years’ related experience.
Two (2) years’ experience in analytic role utilizing systems and data.
Preferred:
Five (5) years’ experience in computer applications and/or database administration.
Three (3) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).
Ability to apply accounting, mathematical and statistical principles to assigned tasks.
Demonstrated ability to create, modify and design SQL databases.
Additional Information
Schedule: Full-time
Requisition ID: 26002135
Daily Work Times: 8:30 am – 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No
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MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Position Overview
At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems, including benefits and pricing requirements for claims processing systems. Develops and maintains financial, management, standard production, customer, regulatory and ad hoc reports. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test conditions, creates test plans, and conducts tests to ensure business and reporting requirements are met. Responsible for change management of above systems and reports and coordinates all routine maintenance and upgrades. Monitors performance of such systems and reports and informs leadership of deficiencies and/or makes recommendations for increased functionality.
Qualifications
Required:
Bachelor’s degree in business, computer science, health care or related field; or Associate degree/IT certification and two (2) years related experience; or High School diploma and four (4) years’ related experience.
Two (2) years’ experience in analytic role utilizing systems and data.
Preferred:
Five (5) years’ experience in computer applications and/or database administration.
Three (3) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).
Ability to apply accounting, mathematical and statistical principles to assigned tasks.
Demonstrated ability to create, modify and design SQL databases.
Additional Information
Schedule: Full-time
Requisition ID: 26002135
Daily Work Times: 8:30 am – 5:00 pm
Hours Per Pay Period: 80
On Call: No
Weekends: No
#J-18808-Ljbffr