Customer Implementation Analyst - HNAS

Company :

Highmark Inc.

Job Description : 

JOB SUMMARY

This job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration solutions. Performs standard and custom benefit coding and new client and group installation, translating group and client information into system configuration, including but not limited to client, group, rates, and commissions data.  

HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve

This role is looking for someone who has ZELIS/RedCard experience along with reading and interpreting code within the health insurance space. This is a remote based role.

ESSENTIAL RESPONSIBILITIES

• Perform basic analysis using knowledge of moderate-to-complex business rules by interpreting and analyzing data from various sources and formats and utilize the data for configuration activities.
• Translate moderate-to-complex business needs and business rules to define and execute operations activities for high quality solutions to meet customer and plan partner needs.
• Document and execute medium-to-complex product and benefit configuration rules.
• Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process.  
• Assist in development of testing plan, scenarios, and documentation to ensure high quality of product.
• Perform both end-to-end and user acceptance testing to ensure high quality of product.
• Other duties as assigned or requested.

EDUCATION

Required

• High School Diploma/GED

Substitutions

• None

Preferred

• Associate’s Degree in Healthcare Administration, Business, Information Science or other related field

EXPERIENCE

Required

• 3 - 5 years of experience in health care industry or other related field
• 3 - 5 years of experience in business analysis, system analysis, or other related function working with logical data structures

Preferred

• 3 - 5 years of experience in health insurance operations, benefits operations, or other related field related is preferred
• 3 - 5 years of experience with client, product, and/or benefits configuration techniques

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• None

SKILLS

• Excellent detail-oriented skills
• Good customer service skills with moderate experience working with customers, sales, and/or clients
• High proficient oral and written communication skills
• Ability to understand and resolve moderate to complex data relationships, data conflicts, and data discrepancies
• Ability to apply logical thinking and critical thinking skills to resolve moderate to complex problems and designs
• Proficient in understanding, analyzing, and applying moderate to complex business rules and configuration concepts

LANGUAGE REQUIREMENT (Other than English)?

None

TRAVEL REQUIREMENT

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches/Trains others regularly

Rarely

Travels regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (Sales employees)

Does Not Apply

Physical Work Site Required

No

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code