Vaya Health · 10 hours ago
Systems Analyst - Benefits Integration (Remote)
United States
Full-time
Remote
Mid, Senior Level
$79K/yr - $103K/yr
2+ years expVaya Health is a healthcare organization seeking a Systems Analyst - Benefits Integration to collaborate with business stakeholders and technical staff. This role is responsible for configuring, maintaining, and improving benefit systems to ensure accurate processing and operational continuity.
CommunitiesHealth CareHospital
Responsibilities
Configure, update, and maintain benefit plans and riders in HSP
Evaluate and rebuild existing benefit plans
Apply liabilities (frequencies, deductibles, maximums, etc.) to benefit plans
Manage Optum CES edits, mappings, and integration with claim adjudication
Manage and troubleshoot Optum PPS rate configurations and processing issues
Review and update Optum code sets and schedule of benefits
Read, interpret, and apply benefit details from contracts, SPDs, and similar documents
Work with stakeholders and technical staff to implement new groups and renewals
Determine feasibility of non-standard benefit requests and develop system solutions
Support configuration testing and validate that system changes meet business needs
Experiment in test environments to identify unused beneficial features
Document findings, system configurations, and change history
Participate in developing SOPs and training documentation for benefit processes
Cross-train with the primary Benefits Analyst to ensure operational redundancy
Provide coverage for benefit configuration tasks during absences or peak workload periods
Support business continuity by maintaining awareness of current benefit updates and workflows
Analyze, facilitate, model, and organize information in order to reconcile conflicts, elicit requirements and distinguish solution ideas from business needs
Analyze changes of product design to determine the effect on the end-product and impact to business value
Ensure technical and non-technical documentation stays consistent with system configuration as changes are made
Partner with both internal and external users, business and technical stakeholders to identify and document requirements, functional, non-functional, technical design and processes that support overall business goals and objectives
Liaison between business stakeholders (management, customers, or end users) and the software vendors or other Information Technology teams
Partner with stakeholders to achieve project goals and provide continued best practice support to ensure successful adoption of the applications/features
Thoroughly troubleshoot Tier 2 and 3 support issues for a quick resolution with or without vendor interaction and resolution documentation
Works under minimal supervision on complex projects to complete deliverables on time
Translate business requirements into user stories and/or functional/non-functional specifications using mockups/prototypes, process models/diagrams, data models and other documentation where applicable to improve the flow of information through an organization to enhance project success
Work with Finance leadership to understand Financial Reporting requirements as they relate to Benefits
Manage the set-up and configuration of systems
Develop and implement maintenance procedures, monitor systems health, gather system statistics, and troubleshoot reported errors and alerts
Perform design, implementation, and upgrades of information systems to meet the business and user needs
Partner with Quality Assurance team members to ensure the requested requirements are met and work stays on track
Evaluate and ensure data integrity of new system enhancements
Participate in business portfolio management meetings - includes report preparation for the meeting and working with stakeholders to prioritize requests in the portfolio
Monitor ticket queues to ensure new issues are addressed in a timely manner
Participate in troubleshooting to Level 1 support of Enterprise applications
Demonstrate excellent verbal and written communications skills with technical and non-technical clients Mediates between end users and software vendor as the point of contact and an advocate for the business
Work with the Technical Writers to maintain Standard Operating Procedure (SOP) documentation used to manage, configure, and/or maintain each application
Qualification
Required
High School Diploma and ten (10) years of experience supporting business computer systems or similar applications
OR Associate Degree and four (4) years of experience supporting business computer systems or similar applications
OR Bachelor's Degree and 2-5 years of related experience analyzing and designing business systems
Ability to work with multiple levels of an organization through functional boundaries
Knowledge of relevant technology concepts (e.g. relational databases, cloud architectures, Azure Services)
Knowledge of Business Intelligence concepts (e.g. reporting, querying software, OLAP, spreadsheets, dashboards, and data mining)
Possess strong written and verbal communication skills, including prioritizing, problem solving and interpersonal relationship building
Experience with common software development lifecycle methodologies, including Waterfall and Agile models (Agile strongly preferred)
Ability to establish and maintain effective working relationships with a service-oriented attitude in a fast-paced team environment
Ability to make suggestions for process improvement to ensure efficiency in IT and Business processes
Ability to work under pressure and get the job done with attention to detail and within deadlines
Ability to demonstrate a high level of accountability and integrity
Ability to conduct software presentations for business stakeholders and technology teams
Ability to adapt to the business ecosystem and develop a thorough understanding of the technology environment
Proficient at analyzing complex inputs and translating data into well-defined system requirements
Experienced at creating and maintaining accurate detailed documentation which can be understood by staff or customers at any level
Proven time management and organization skills to prioritize workload and meet deadlines
Ability to create diagrams, workflows, use cases, user stories and test cases
Ability to accurately estimate work effort and plan work to meet deadlines
Self-motivated with the ability to handle multiple tasks simultaneously
Excellent knowledge in MS Word, MS Excel, MS Visio or equivalent software
Preferred
Experience on at least one enterprise and cross-functional projects or with integration of multiple systems on dissimilar platforms a plus
Company
Vaya Health
Vaya Health is whole person health organization helping those with behavioral health and intellectual or developmental disabilities.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Brian Ingraham
Chief Executive Officer/President
Tracy Hayes
Chief Executive Officer
Recent News
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