Operations System Analyst II - The Health Plan

 
Position: Operations System Analyst II - The Health Plan

Job ID: 145121

Location: US-TX-Houston

Department: TCHP - BUSINESS OPERATIONS

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   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 otherrelated field 
  • 4 years of experience in health plan payersinformation 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 

 

 

 



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