Cambia Health Solutions→
Support Services Business Systems… at Cambia Health… · Portland
Entry LevelHybridFull-timePortland, OR$63k–$85k/yr
Skills
business requirements analysisprocess modelingfunctional systems designsystem configurationacceptance testingauditingbenefit configuration - facetshealth insurance terminologysqlquality assurance - sql queriessoftware development lifecycleclaims processingmembership processingproduct configurationenrollmenteligibilityreport writingai toolstechnologiestalendtableauapisanalytical skillsmanage ambiguity
Job Description
Summary: Cambia Health Solutions is committed to creating a person-focused and economically sustainable health care system. They are seeking Business Systems Support Analysts to participate in the support, maintenance, and enhancement of existing systems, as well as the development and delivery of new systems to support Cambia's core strategies. This role requires collaboration and a passion for serving others in a team environment.
Responsibilities:
- Accountable for functional system design and configuration
- Write and execute ad-hoc reports and queries
- Conduct unit testing, user acceptance testing and end-to-end testing for of configuration along with regression testing of fixes, enhancements, and system upgrades
- Perform post implementation quality assurance, troubleshooting and issue resolution
- Respond to customer inquiries regarding system functionality, modification, and status of issue resolution
- Review, analyze and resolve sustainment issues associated with systems and/or processes
- Develop scripts that move data or update data in a manner that replicates online functionality
- Review and approve high-level data flows, functional and technical specifications, system implementation staging, change control, design alternatives and functional system requirements
- Assist, when appropriate, in the training and communication of system changes for end-users and other impacted staff
- Schedules, organizes, and prioritizes work to ensure timely completion of all work simultaneously assigned or in progress
- Acts as a liaison between the business areas and our DTS counterparts
- Assist in development of Business Analysts
- Back up Lead BSA as required
- Perform in a project leadership role
- Assist with project or production support duties as directed by leadership or Project Manager
- Is proficient at writing SQL and understands software lifecycles, making recommendations on process and technology changes to support efficiencies within the business teams
- Supports new technology to improve business processes (Talend, Tableau, APIs.)
- Is accountable to communicate software changes to front-line staff, management, and consumers of those systems
Required Qualifications:
- A college degree in Computer Sciences, Mathematics, Business Administration, or related fields
- One year experience in defining and analyzing business requirements, process modeling, functional systems design, or configuration and/or acceptance testing is required
- Experience with a business area that is supported by this position is required (i.e, Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims, etc.)
- Three years' experience in defining and analyzing business requirements, process modeling, functional systems design, or configuration and/or acceptance testing is desired
- Demonstrated ability to develop general and detailed functional requirements
- Demonstrated ability to create and perform system testing, along with the ability to report on the results of such testing
- Ability to facilitate and carry out system configuration decisions
- Ability to facilitate communication between technical and business staff with the goal of finding the best solutions to meet the business requirements of various projects
- Ability to work in a team environment along with the self-motivation to work independently
- Demonstrated ability to tolerate and manage ambiguity
- Proven analytical skills
- Proven communication skills with an ability to be both clear and concise
- Must have advanced SQL knowledge and report-writing capabilities
- Basic understanding of software development lifecycle from conception to delivery
Preferred Qualifications:
- Previous auditing experience, within or outside health insurance/care
- Benefit Configuration experience within Facets
- Health Insurance terminology familiarity
- Proficient skills: QA - SQL Queries
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Required Skills: Business requirements analysis, Process modeling, Functional systems design, System configuration, Acceptance testing, Auditing, Benefit configuration - Facets, Health insurance terminology, SQL, Quality assurance - SQL queries, Software development lifecycle, Claims processing, Membership processing, Product configuration, Enrollment, eligibility, Report writing, AI tools, technologies, Talend, Tableau, APIs, Analytical skills, manage ambiguity
Benefits: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits., Annual employer contribution to a health savings account., Generous paid time off varying by role and tenure in addition to 10 company-paid holidays., Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period)., Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave)., Award-winning wellness programs that reward you for participation., Employee Assistance Fund for those in need., Commute and parking benefits.
Benefits
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.