City/State
Richmond, VA
Work Shift
Multiple shifts available
Overview:
SENTARA HEALTH PLANS IS LOOKING TO HIRE A SENIOR BUSINESS SYSTEM ANALYST!
This is a fully remote position.
Remote opportunities available in the following states: Virginia, North
Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas,
Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North
Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee,
Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming .
Description
This position is responsible for support, enhancement and implementation
software applications used within the organization. Oversee and directs
intermediate scale projects or components of large-scale projects; develops
project plans and timelines and coordination of project resources.
Incumbent will identify opportunities to leverage technologies in areas that
improve and enhance business practices by designing and implementing
application/product enhancements. Works with and is a liaison to customers and
end-users, appropriate IT personnel and software vendors on a regular basis to
align technological functionality to operational processes. Assess, research,
analyze, and document stakeholder needs, selecting the appropriate information
gathering and/or modeling technique to elicit requirements. Develop detailed
test cases, execute them, and share results with business and tech managers for
approval. Work jointly with developers to solution and provide cost and time
estimates on fixes and enhancements. Performs longer term analysis and design of
systems and hardware to maintain the production environments. Synthesize
requirements and develop recommendations that best meet the objectives of the
business. Works on project teams that are developing or modifying very complex
information systems.
Education
* Bachelor’s degree preferably in a field such as Computer Science, Business,
Technical, Education, Information Systems, Finance, Business Administration,
Accounting, Engineering, Information Technology (Required)
Or
* Candidates without a bachelor’s degree with 6 or more years of relevant
experience may be considered.
Experience:
* 4 years of relevant experience (Required)
* Proficiency in SQL, HTML, and CSS (Preferred)
* Experience with pricing configuration in NetworX Pricer (Preferred)
* Experience in claims editing (Required).
* NetworX Payment Bundling Administration (PBA), Optum Claims Edit System (CES)
or Zelis. (Preferred)
* Experience with pricing configuration for Commercial plans (Required)
* Experience with QNXT preferred but will accept experience with Facets
We provide market-competitive compensation packages, inclusive of base pay,
incentives, and benefits. The base pay rate for Full Time employment is:
$69,867– $116,438.
Additional compensation may be available for this role such
as shift differentials, standby/on-call, overtime, premiums, extra shift
incentives, or bonus opportunities
Talroo-IT, pricing configuration, NetworX Pricer, pricing, NetworX Payment
Bundling Administration (PBA), Optum Claims Edit System (CES), Zelis, fee
schedule, pricing analyst, QNXT, Facets, SQL, Medicare, Medicaid, commercial,
provider agreement, provider contract, configuration analyst, configuration,
pricing configuration, NetworX, Pricer, NetworX Pricer, contract implementation,
business analyst, commercial health plan, health plan
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities
through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and
professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus
if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the
diversity and inclusiveness of its close to an almost 30,000-member workforce.
Diversity, inclusion, and belonging is a guiding principle of the organization
to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free
environment.
For positions that are available as remote work, Sentara Health employs
associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine,
Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North
Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee,
Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
