IT Business Systems Analyst

Upper Peninsula Health Plan Marquette , MI 49855

Posted 2 months ago

POSTED: March 22, 2024

POSITION: IT Business Systems Analyst

DEPARTMENT: Information Systems

POSITION SUMMARY:

The IT Business Systems Analyst acts as the liaison between information systems/information technology (IS/IT) and other Upper Peninsula Health Plan (UPHP) departments; serves as a project manager for cross departmental projects and application implementations; facilitates meetings and documentation regarding current and future company systems and business processes; and provides technical support for external vendor software.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1.Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.

2.Acts as a liaison between IS/IT and other UPHP departments by fostering a collaborative relationship while working towards company goals and department initiatives.

3.Acts as a project manager for internal business processes and large application implementations, managing timelines and conducting regular status updates to the project team; prepares IT Governance Committee documentation and participates in committee meetings.

4.Facilitates meetings and communications with various stakeholders at different levels of the organization to assess business needs, gather requirements, and help understand and improve workflow processes.

5.Develops and follows standard project templates; conducts preliminary investigation for assigned project requests; documents requirements, specifications, and test support and training plans to ensure they are in line with business objectives on projects.

6.Consults with UPHP departments to meet Medicare, Medicaid, and MI Health Link contractual requirements and processes (e.g., enrollment, coordination of benefits, risk adjustment, program audit requirements). Reviews and monitors state and federal guidance changes for impact to the IS/IT department.

7.Maintains ongoing technical support and project management oversight for external vendor software applications and internally developed tools as needed.

8.Attends company and department meetings; serves on committees and participates in workgroups as required.

9.Maintains confidentiality of client data.



  1. Performs other related duties as assigned or requested.

POSITION QUALIFICATIONS:

Education:

Minimum:

Bachelor's degree in business, computer information systems, or computer science; five (5) years of relevant experience in lieu of a degree will be considered

Preferred:

Bachelor's degree in appropriate science plus Certified Associate in Project Management (CAPM) certification

Experience:

Minimum:

One (1) to three (3) years of experience in information systems or technology-related environment

Preferred:

Three (3) to five (5) years of experience in information systems or technology-related environment; project management experience

Required Skills:

Excellent project management and organizational abilities

Excellent human relation and oral/written communication

High level of technical and problem-solving skills

Ability to adhere to deadlines and manage multiple tasks effectively

Ability to be flexible in demanding situations

Advanced computer skills and software knowledge

Excellent organizational abilities and attention to detail

Adaptable to change

Preferred Skills:

Knowledge of HEDIS, NCQA, and CMS regulations

Knowledge of terminology and concepts used in the healthcare and health insurance industry

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

Physical Requirements:

[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:

Ability to access departmental files

Ability to enter and access information from a computer

Ability to access all areas of the UPHP offices

Moderate physical effort (lift/carry up to 25 pounds)

Occasionally lifts supplies/equipment

Occasional reaching, stooping, bending, kneeling, crouching

Prolonged periods of sitting

Occasional prolonged standing

Manual dexterity and mobility

Working Conditions:

Works in office conditions but occasional travel may be required

Exposure to situations requiring exceptional interpersonal skills or periods of intense concentration

Subject to many interruptions

Occasionally subjected to irregular hours

If not CAPM certified, a plan will be developed for the employee to achieve certification based on program requirements within two years.


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