Job Details

Role Overview

The Facets Business Systems Analyst Senior is a top technical contributor that formulates and defines system scope and objectives through research and analysis combined with an advanced understanding of applicable health insurance/ healthcare business industry requirements. You will develop and modify global system changes utilizing advanced understanding and technical knowledge of the FACETS application. This is an opportunity to manage and lead large scale projects, as well as assist and mentor less experienced FACETS Business System Analysts.

Work Arrangement

• This is a 100% remote position

Responsibilities

• Serve as a technical consultant to assigned Health Plan(s) in the evaluation, design, testing, and implementation of required Health Plan benefit and payment structure changes.
• Serve as an internal consultant and subject matter expert to various Service Operations functions on both corporate projects and business initiatives that require FACETS configuration modifications.
• Understands/implements changes with a broader knowledge of problematic issues. Views Facets with larger impact in mind as well as being aware of downstream effects.
• Monitor existing system functionality and make recommendations where appropriate, to maintain acceptable levels of performance, reliability, and end user satisfaction.
• Analyze and present business impact analysis for global system changes.
• Identify opportunities to create efficiencies through FACETS system enhancements.
• Automate routine configuration processes.
• As a key contributor, lead mid-level to complex projects.
• Conduct unit testing of planned configuration modifications prior to User Acceptance Testing and auditing.
• Create detailed written technical specifications to both document and promote FACETS system production changes.
• Ensure the quality and integrity of work requests though the use of production validation and audit strategies.
• Ability to effectively communicate with all levels of the business community, including technical staff, internal non-technical staff, testing teams, and business stakeholders.
• Maintain effective, productive relationships with internal and external clients.
• Support and Carry out the AmeriHealth Caritas Mission.

Education and Experience

• Bachelor's Degree in Business Administration, Information Systems Technology preferred, or equivalent experience in a business/technical environment.
• Minimum of five to seven (5-7) years work experience with Medicaid Managed care in Business Analyst Position, Configuration, or related business area.
• Minimum of three (3) years utilizing Microsoft Access for analysis, reporting and updating FACETS data or equivalent relational database application experience. Must have ability to build complex queries, reports and macros.

Other Skills:

• Understands workflows and tracks work requests throughout the configuration development life cycle.
• Ability to solve testing/auditing findings in a timely manner.
• Possess FACETS Configuration modification technical skills required to complete work.
• Demonstrate high level of competency in utilizing data analysis and query tools such as MS Access, SQL, and MS Excel to identify root-cause issues, create new processes, or enhance the development of FACETS system changes

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.