Job Summary:
Designs, builds, oversees, implements and supports health plan software and related processes. Coordinates project and support teams to ensure appropriate development, training, implementation, support and evaluation of application functionality. Oversees workflow and processes as they related to systems applications.
Job Requirements:
Education and Work Experience:
- Associate's/Technical Degree or equivalent combination of education/related experience: Required
- Bachelor's Degree: Preferred
- Five years' health plan claims or information systems experience: Preferred
Essential Functions:
- Analyzes and reviews data requirements for internal use as well as for outside vendors to ensure data requirements are met. Coordinates a variety of information systems and data files, including large and complex files. Analyzes file structure, using and creating file layouts and transforming raw data into finished products.
- Oversees a variety of information systems and data files. Oversees technical support for Benefits Administration-specific applications.
- Works with a variety of information systems and data files, including large and complex files. Analyzes file structure, using and creating file layouts and transforming raw data into finished products.
- Prepares health plan reports. Creates trending and management reports as needed.
- Provides data reporting and analytical support for auditing functions. Maintains and utilizes software licenses, serving as a liaison with the vendor as needed.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https:///careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.