Operations Systems Analyst I - Medicaid Provider Setup

 
Position: Operations Systems Analyst I - Medicaid Provider Setup

Location: US-TX-Bellaire

Shift: 8a - 5p

About Texas Children's Hospital

Texas Children’s Health Plan (TCHP) is the largest Texas Medicaid managed care organization, and is part of the Texas Children’s healthcare system. Founded in 1996, TCHP is the nation's first health maintenance organization (HMO) created just for children and pregnant women. Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently the Health Plan serves more than 450,000 members across three service areas (Harris, Jefferson, North East). Members of the plan receive care from our network of more than 4,000 primary care physicians, 8,000 specialists, and 110 hospitals. They can also receive care at The Center for Children and Women, a patient and family-centered medical home with two convenient locations for TCHP members who can have all their medical needs met in one place, receiving multiple services the same day. TCHP is a recognized leader at encouraging holistic care that empowers families to live healthier lives.   To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities.   You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are searching for an Operations Systems Analyst I— someone who works well in a fast-paced setting. In this position, you'll be responsible for the activities related to minor system updates, new health plan implementations and conversions. We are looking for someone to join our Provider Setup time that will be responsible for provider configuration and data maintenance.

 

Think you’ve got what it takes?



Responsibilities :

  • Performs daily review of business applications functions and supports the Claims team with moderately complex claim issues
  • Supports the application's installation through the implementation cycle
  • Suggests process improvements to ensure systems are working more efficiently and with a goal to increase quality output
  • Maintains thorough and concise documentation for tracking of all provider, contract, benefit or Process Director changes related to Change Control Management or issues for quality audit purposes
  • Analyzes the use of existing systems to identify and resolve problems
  • Coordinates implementation and upgrades of systems

 



Qualifications:

  • High School diploma or GED
  • Bachelor’s degree in computer science, business administration, Health Care Administration, or other related fields preferred
  • 2 years of experience in Health Plan Payor information systems
  • Bachelor's degree may substitute two (2) years of required work experience

 

 



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