POSTED: May 29, 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.
10. 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.