Works with users to provide software/application support services. May also work with users to understand clinical and business workflows, document functional requirements, execute test scripts and user acceptance testing.
Does this position require Patient Care? No
The analyst role is responsible for ensuring that sponsor group configurations align with the business rules, benefits offerings, regulatory requirements, and data integrity standards. Claims processing experience with QNXT is highly preferred.
Essential Functions * Define Sponsor Group Structure: Establish the hierarchical structure for
sponsor groups (e.g., parent companies, subsidiaries, or divisions) based on
organizational requirements.
* Determine and configure the group-level settings, such as:
o Group ID and group name.
o Employer or sponsor type (e.g., employer, government entity,
association).
o Group's eligibility criteria for plan enrollment.
* Set up billing rules for sponsor groups, including premium calculations,
payment schedules and billing frequencies
* Configure sponsor groups in compliance with healthcare regulations (e.g. ACA,
HIPAA)
* Configure and maintain sponsor group contracts and service agreements
including renewal or termination dates and status
* Set up sponsor records including sponsor contact information and address
* Perform end to end testing for sponsor group setup to validate configurations
are accurate
* Solid organizational skills
* Ability to manage timelines and prioritize multiple concurrent tasks while
maintaining high quality standards
* Strong attention to detail
* Ability to work effectively in cross-functional/cross-departmental settings
* Team player, committed to quality process and outcomes
* Hold self and others accountable to meet commitments
* Documenting processes and workflows
* Excellent communication and interpersonal skills, with the ability to engage
stakeholders at all levels.
* Identify business process improvement opportunities and escalate the potential
improvement appropriately. Education
- Bachelor's Degree Computer Science required or Bachelor's Degree Related Field of Study required
Can this role accept experience in lieu of a degree?
Yes
Experience
- Analytics/Systems Development Experience 1-2 years required
- QNXT experience highly-preferred
Knowledge, Skills and Abilities
- Experience providing end user support, preferably in a healthcare setting Problem-solving skills.
- Ability to document workflows and business processes.
- Strong interpersonal skills to effectively communicate with both technical and non-technical staff.
- Ability to learn quickly Knowledge of Microsoft Office 365 and other popular office productivity solutions.
Physical Requirements
- Standing Occasionally (3-33%)
- Walking Occasionally (3-33%)
- Sitting Constantly (67-100%)
- Lifting Occasionally (3-33%) 20lbs - 35lbs
- Carrying Occasionally (3-33%) 20lbs - 35lbs
- Pushing Rarely (Less than 2%)
- Pulling Rarely (Less than 2%)
- Climbing Rarely (Less than 2%)
- Balancing Occasionally (3-33%)
- Stooping Occasionally (3-33%)
- Kneeling Rarely (Less than 2%)
- Crouching Rarely (Less than 2%)
- Crawling Rarely (Less than 2%)
- Reaching Occasionally (3-33%)
- Gross Manipulation (Handling) Constantly (67-100%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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Mass General Brigham Health Plan
Feb 21, 2025