Mass General Brigham Health Plan
Senior Business System Analyst
Mass General Brigham Health Plan, Somerville, Massachusetts, us, 02145
About Us
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
General Summary/ Overview
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
This role is responsible for the modification to and/or implementation of new and complex configurations spanning multiple modules in the QNXT system.
Principal Duties And ResponsibilitiesSupport the managed care transaction system configuration changes and new configuration requirements including configuration analysis, design, build and test. Configuration support to include, but not limited to provider data management, provider contracts and benefit plans.Ability to work with technical staff for data load validation, QMU tool testing and other data related tasks as assigned.Ability to handle fluctuating volumes of work and be able to weight complexity for all requests received, prioritize competing priorities, meet tight deadlines, coordinate with others to accomplish tasks and problem solve in order to meet the needs of the business units.Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases, benefit updates, contract updates.Participate in QNXT application upgrades.Collaborate with team members to share experience and knowledge.Create and modify documentation to support configuration processes.Serve as a resource in troubleshooting mid-level claim issues.Hold self and others accountable to meet commitments.Ensure diversity, equity, and inclusion are integrated as a guiding principle.Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.Other duties as assigned with or without accommodation.Minimum QualificationsBachelor’s Degree preferred. Years of experience in lieu of education are acceptable.Comfortable with SQL programming, MS Excel required.5+ years of solid, diverse work experience in health insurance delivery, claims processing, provider contracts or benefits administration is desirable.Skills/Abilities/CompetenciesDemonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.Bring fresh ideas forward by listening to and working with employees and the people we serve.Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.Strong aptitude for technology-based solutions.Ability to inject energy, when and where it’s needed.Current in healthcare trends.Demonstrated forward, visionary thinking; ability to see 'what is' and envision 'what could be.'Ability to develop, introduce, defend, and gain support for new ideas and approaches.Excellent leadership skills and leadership track record.Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.Ability to view the long-range trends and cycles of the business and industry and see the 'big picture.'Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.Excellent interpersonal skills, including the ability to influence others at all levels of an organization.Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.Unquestionable integrity.Fiscal ResponsibilityNo direct budgetary responsibility.Demonstrates fiscal responsibility by effectively using Mass General Brigham Health Plan resources.Working ConditionsNormal office working conditions.Remote, Hybrid or onsite.Primary LocationMA-Somerville-MGB Assembly RowWork LocationsMGB Assembly RowJobBusiness and Systems AnalystOrganizationMass General Brigham Health PlanScheduleFull-timeStandard Hours40ShiftDay JobEmployee StatusRegularRecruiting DepartmentMGB Health Plan Human ResourcesJob PostingNov 27, 2023#J-18808-Ljbffr
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step.
Our employees use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
General Summary/ Overview
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
This role is responsible for the modification to and/or implementation of new and complex configurations spanning multiple modules in the QNXT system.
Principal Duties And ResponsibilitiesSupport the managed care transaction system configuration changes and new configuration requirements including configuration analysis, design, build and test. Configuration support to include, but not limited to provider data management, provider contracts and benefit plans.Ability to work with technical staff for data load validation, QMU tool testing and other data related tasks as assigned.Ability to handle fluctuating volumes of work and be able to weight complexity for all requests received, prioritize competing priorities, meet tight deadlines, coordinate with others to accomplish tasks and problem solve in order to meet the needs of the business units.Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases, benefit updates, contract updates.Participate in QNXT application upgrades.Collaborate with team members to share experience and knowledge.Create and modify documentation to support configuration processes.Serve as a resource in troubleshooting mid-level claim issues.Hold self and others accountable to meet commitments.Ensure diversity, equity, and inclusion are integrated as a guiding principle.Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.Other duties as assigned with or without accommodation.Minimum QualificationsBachelor’s Degree preferred. Years of experience in lieu of education are acceptable.Comfortable with SQL programming, MS Excel required.5+ years of solid, diverse work experience in health insurance delivery, claims processing, provider contracts or benefits administration is desirable.Skills/Abilities/CompetenciesDemonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.Bring fresh ideas forward by listening to and working with employees and the people we serve.Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.Strong aptitude for technology-based solutions.Ability to inject energy, when and where it’s needed.Current in healthcare trends.Demonstrated forward, visionary thinking; ability to see 'what is' and envision 'what could be.'Ability to develop, introduce, defend, and gain support for new ideas and approaches.Excellent leadership skills and leadership track record.Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.Ability to view the long-range trends and cycles of the business and industry and see the 'big picture.'Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.Excellent interpersonal skills, including the ability to influence others at all levels of an organization.Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.Unquestionable integrity.Fiscal ResponsibilityNo direct budgetary responsibility.Demonstrates fiscal responsibility by effectively using Mass General Brigham Health Plan resources.Working ConditionsNormal office working conditions.Remote, Hybrid or onsite.Primary LocationMA-Somerville-MGB Assembly RowWork LocationsMGB Assembly RowJobBusiness and Systems AnalystOrganizationMass General Brigham Health PlanScheduleFull-timeStandard Hours40ShiftDay JobEmployee StatusRegularRecruiting DepartmentMGB Health Plan Human ResourcesJob PostingNov 27, 2023#J-18808-Ljbffr