Systems Analyst II
Posted about 2 months ago
Rising Medical Solutions has an opening for a Systems Analyst II, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare system by reducing the cost of healthcare claims through bill review, case management, and utilization review. Our mission is "We make lives better" and everyone here at Rising works hard to achieve this goal. So take a look at the job, let us know what you think, and let's start working towards a better future!
What You'll Be Doing
- Translate business requirements into technical requirements and ensure all system requirements adequately reflect defined business processes and fully support all components of the functional business requirements
- Communicate requirements and collaborate with developers, QA analysts, and other project team members to implement or enhance systems
- Represent Rising in client and partner meetings for system implementations
- Develop a subject matter expertise on one or more aspects of integrations between company and external systems and/or internal systems
- Assist with production support - investigate issues, root cause analysis, report and communicate detailed findings when necessary
- Develop use cases and process/data flow diagrams
- Support the creation and/or create test plans and relevant training materials
- Conduct reviews of systems and identify enhancements that support company strategies and affect key performance indicators
- Conduct training for other Professional Services team members for subject matter knowledge transfers
Requirements
Education
- A Bachelor’s degree or equivalent, preferably in an IT-related field
Experience
- A minimum of two full years of experience in a business systems analyst or equivalent role
- Must have experience with workers’ compensation insurance, group health insurance, medical bill review, and/or relevant health care industry systems and processes
- Must have experience with requirements analysis, interacting with business users to define clear scope, and contributing to cross-functional teams
- Excellent analytical, communication, and problem-solving skills, and experience applying these skills to resolve application design considerations and technical issues
- Must have working knowledge of database and data modeling tools and concepts
- Must have working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models
- Must have experience analyzing XML or EDI messages
- Strong working knowledge of SQL and database concepts to aid in data analysis
- Ability to communicate technical information clearly and participate in collaborative meetings with representatives from internal departments and clients
- Skill in the use of computerized spreadsheet, relational database, and word processing software
- Ability to process computer data and to format and generate reports
- Must have experience creating detailed visual models to support requirements including data flow/workflow diagrams
- Ability to conform to shifting priorities, demands, and timelines
- Ability to quantify results in terms of cost savings and key performance indicators
- Demonstrated history of proactively identifying improvement opportunities in systems and methodologies
Benefits
- Generous Flexible Time Off (take it when you need it!)
- Comprehensive benefit package including health/dental/vision insurance, profit sharing, and 401k matching
- Career Growth Opportunities - We often promote from within
- Professional Development Reimbursement Program (PDRP)
- You will be part of our new Elevate program designed to recognize and reward employees for their hard work
- Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Working at Rising Medical Solutions | Top Workplaces
- We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical
- Want to see more? Check out our:
If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!
Other open roles at Rising Medical Solutions(5)
Rising Medical Solutions specializes in medical bill review and medical cost containment for workers' compensation, auto, liability and group health payers.
Key team members
Rick Thompson
Pat Frias
Erik Brandon
Shea W.
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