**Business Systems Analyst Senior**
Location: Newark, DE
Develop and implement data-driven solutions to meet business requirements by producing analytics, reports and data sets
Your career starts now. We're looking for the next generation of health care leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com .
Responsible for development and implementation of data-driven solutions to meet business requirements by producing analytics, reports and data sets across a variety of subject matters - primarily related to, but not limited to, value-based contracting, medical management, population health, network management, contracting, marketing and member outreach, and new business initiatives, member attribution, monitors provider roster reconciliation and facilitate MLR review for the value based contracting team. Oversees file production and exchange with our value based providers following the IT project methodology. Required to perform complex analysis and gain a thorough understanding of the current processes along with the expected outcome for new value based programs and enhancements. Required to make formal recommendations, presentations and submitting written documentation to management, provider network team, external customers, and plan management for review and approval. Must be capable of sharing knowledge, documentation and experience with others. Strong team player who operates effectively in a team environment as well as individually.
Maintains consolidated value based reporting to management and can include milestone summaries, key issues, risks, benefits, and individual status reports. Must be able to synthesize large amounts of data into presentable and actionable formats for management, provider network team and external customers. Consistently leverage or modify existing reporting formats, utilize previously developed tools or develop new tools\formats when required. This position takes a proactive role in learning business processes, system impacts and business ramifications. Assures the comprehensiveness and accuracy of documentation delivered to sufficiently support recommended actions, business requirements and continued maintenance. Performs other analysis, documentation, and tasks as required.
+ Bachelor's Degree B.S. in Business Administration, Information Systems Technology, or equivalent experience in a business/technical environment.
+ Minimum of five (5) to seven (7) years of work experience with Information Systems, or related business area.
+ At least six (6) years of work experience performing complex business analysis, working within a structured SDLC process, and system implementations.
+ Experience with Facets or any configurable Healthcare systems experience in two or more of the following modules: Claims, Members (Eligibility), Providers and/or Finance.
EOE Minorities/Females/Protected Veterans/Disabled