Operations Systems Analyst II -The Health Plan - Bellaire, TX

 
Position: Operations Systems Analyst II -The Health Plan - Bellaire, TX

Location: US-TX-Bellaire

Talent Area: Administrative Support

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.



Summary:

We are searching for an Operation Systems Analyst II – someone who works well in a fast-paced managed care setting. In this position, you’ll be responsible for the activities related to minor system updates, new health plan implementations and conversions within the Business Operations Teams. Previous experience with healthcare is going to be very desirable with this role. Do you have experience with claims activity, payment issues, and educating plan members on these topics? You will need to understand how this data flows through a business operation.   

 

Think you’ve got what it takes? 

 



Responsibilities :

Job Duties & Responsibilities 

 

  • Supports Claims staff with complex claim issues 
  • Supports external users with complex application errors related to business applications 
  • Identifies and develops process improvements outside of daily scope of work 
  • Assists with the development of configuration standards and best practices 
  • Provides input to project implementation plan 
  • Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans 
  • Participates in defect resolution for assigned business applications 
  • Develops training and materials/documentation for users relevant to the implementation of new Process Director workflows 
  • Suggests improvement processes to ensure system are working more efficiently and improve quality 
  • Handles special projects and demonstrate ability to meet deadlines 
  • Analyzes by applying knowledge and experience to ensure appropriate information has been provided 
  • Analyzes use of existing systems to identify and resolve problems 
  • Evaluates business procedures and problems for process improvement 
  • Recommends modifications to application design or current procedures to maximize advantages of existing resources 
  • Coordinates implementation and upgrades of systems 

 

 



Qualifications:

Skills & Requirements 

 

  • Bachelor’s degree in computer science, business administration, healthcare administration, nursing or other related field 
  • 4 years of experience in health plan payers information systems  
  • Four years of related work experience may substitute for the bachelor’s degree   
  • knowledge of current business practices and technology systems, interfaces, and standard healthcare software 
  • Familiarity with a variety of hardware and software environments  
  • A working knowledge of the healthcare industry is also required 

HIGHLY PREFERRED

 

** Our system is MACESS driven.  Previous experience with this software is highly preferred***

 

 



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