Business Systems Analyst - HPS jobs in United States
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Parkview Health · 6 hours ago

Business Systems Analyst - HPS

Parkview Health is responsible for the configuration and maintenance of health plan groups, plans, and eligibility. The role involves optimizing business rules and analyzing complex data to provide insights for decision-making.

FitnessHealth CareNon Profit

Responsibilities

Responsible for the configuration and maintenance of health plan groups, plans, and eligibility
Responsible for optimizing business rules, benefits, and service categories in our claims processing software to accurately adjudicate claims according to a plan’s liability limits and member utilizations
Analyzes complex data and presents results in an understandable format using tools such as MS Excel and/or MS Access
Serves as a business analyst and consultant to management and others needing insights to information by understanding their key business needs/opportunities and utilizing expertise with Health Plan information to recognize opportunities

Qualification

Data analysisHealthcare claims informationMS ExcelSQL queriesQlikTableauDocumentation skillsVerbal communicationWritten communicationTeam collaboration

Required

Bachelor's degree in a Quantitative Analysis, Heath Care, Information Systems or related field
Three years of experience presenting and analyzing information and data structures
Proven experience interpreting data to influence decisions
Proven experience collaborating in a team environment to deliver solutions
Proven track record working with complex data
Strong computer skills in a Windows environment
Strong MS Excel skills
Aptitude with charts that present trends and comparisons is essential
Ability to understand and analyze healthcare claims and healthcare plans information
Ability to manage accuracy and timeliness of deliverables
Effective documentation skills
Exceptional verbal and written communications skills

Preferred

Experience in a health care, insurance, or data analyst role
Previous experience with healthcare claims information
Experience using Qlik, Tableau, or other Analytics tools
Some experience with SQL queries
Experience with MS Excel using complex formulas, vlookup, data import/export using delimiters, csv, or flat files
Knowledge of health plan benefit plans and related setup

Company

Parkview Health

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Parkview Health is northeast Indiana’s largest not-for-profit healthcare provider.

Funding

Current Stage
Late Stage
Total Funding
$1.11M
Key Investors
National Institute of Food and AgricultureFCC
2022-04-26Grant· $0.47M
2021-11-16Grant· $0.64M

Leadership Team

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Jerry Grannan
Chief Operating Officer - Parkview Physicians Group
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Marceline Rogers
COO Parkview Orthopedic Hospital & Parkview Surgery ONE / SVP Orthopedic Service Line
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Company data provided by crunchbase