The Business Systems Analyst III perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in the claims platform and all interfacing applications, both customized and packaged. This individual should possess a high degree of expertise in the business requirements that support reimbursement policies and methodologies of the organization, as well as have the ability to perform complex data analysis and draw business conclusions for decision making. The analyst will coordinate the maintenance of assigned Claims Department systems for the program and play a key role in the configuration and implementation of new markets and products. The analyst should consider interdepartmental impact when recommending and implementing solutions. Responsibilities include but are not limited to claim analysis, development of configuration requirements, ad- hoc reporting, testing and documentation. He or she may be the primary contact for one or more claims system interface applications and is expected to provide a high level of expertise with matters relating to this interface and its functionality.
In addition the Business Systems Analyst III will be responsible for managing configuration projects, coaching junior analysts and for preparing metric performance reports for the department. He or she will work with peers in the department to establish realistic project scope, project plans and timelines.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
Virginia Premier is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.
We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
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