Jobs · Pennsylvania

Lead Configuration Solutions Analyst

Independence Blue Cross · Philadelphia, PA · 1 mo ago
Full-time
We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate like EEO, etc. Must preserve all substantive info. We need to parse the posting. Let's extract content: Intro paragraph: "Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. At Independence Blue Cross everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve." That's about the organization, could be "About the role"? Actually it's about company culture. Could be "About the role" or maybe "About the company". But we only have allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can put this under "About the role". It's substantive. Then description of role: "The Lead Configuration Solutions Analyst works on end-to-end configuration solutions and provides optimization support to all Operations teams by bridging the gap between business and technology. This includes in depth benefit coding and analysis in HealthRules Payer. Business Configuration Solutions – the Configuration Solutions Analyst is responsible for developing end-to-end configuration strategies of the Health Rules and Front Office System platforms. This requires knowledge and experience pertaining to the hierarchy of system and business rules and their integration and impact to other downstream applications. (i.e.: portals, BizTalk, vendor file feeds, DART, provider and enrollment database, CABs, etc.) Business Configuration Solution Delivery – Analyze, determine feasibility, and prove solution concepts for new business, operations enhancement requests, state and federal mandates, BPO/Partnership implementation or introduction of new products Projects and Requirements – Portfolio project work will be assessed, and if feasible, requirements and/or functional specs will be developed to meet the business need Operations Support – The Lead Configuration Solutions Analyst is responsible for collaborating with their teammates and peers to improve business area daily processes and tasks within the Health Rules and Front Office System applications. Also responsible for determining system and process feasibility for new clients, lines of business, and/or products Ticket Resolution – Focus on resolving tickets and enhancement requests in ServiceNow accurately according to SLAs Process Improvements – Identify and define process improvements across operations with our business partners (sales/account management, claims, billing and enrollment, clinical services, IT, product, etc.) Operational Analytics – Retrieve, analyze, organize, report and configure data as needed to support decision making and optimization within the operations business areas. In addition, identifying global trends in operational issues System Releases – Understand system changes and impacts and determine if new processes or configuration is required" That's responsibilities. Could be a list. Then "Responsibilities Include, But Are Not Limited To Implement improved processes, best practices in configuration and management methods to generate higher ROI and workflow optimizationMust have above average analytical skillsProvide support to Configuration Solutions AnalystMust have a global view of interactions with other systems or business needs to determine levels of impactDemonstrated experience using Microsoft office products and project management toolsProven effective communication and analytical skills required to covey complex ideas and concepts to users, business systems analyst, IT and officer level managementMust be detail oriented and understand corporate objectives. Ability to follow through on project life cycle while maintaining target deadlines. Must be able to develop contingency project plans" That seems like a mix of responsibilities and qualifications. We need to separate. Then "Qualifications - External Qualifications - Bachelor’s degree in related field preferred HealthRules Payer experience required. Candidate will not be considered if they don't have this experience. Experience in Healthcare required Proven problem-solving abilities that allow you to understand root cause, provide impact assessment, and follow through on process improvement to ensure there is no additional exposure for the organization/client Inspires and motivate others to support a culture of accountability/execution by setting clear expectations and measuring success though performance which will drive organizational results Hybrid Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app. Qualifications - Bachelor’s degree in related field preferred HealthRules Payer experience required. Candidate will not be considered if they don't have this experience. Experience in Healthcare required Proven problem-solving abilities that allow you to understand root cause, provide impact assessment, and follow through on process improvement to ensure there is no additional exposure for the organization/client Inspires and motivate others to support a culture of accountability/execution by setting clear expectations and measuring success though performance which will drive organizational results IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app." We need to strip EEO boilerplate and duplicated lines. Also remove "Hybrid" schedule info? Actually schedule is a heading we can include if posting states schedule. It does: Hybrid model: office 3 days (Tue-Thu), remote 2 days (Mon-Fri). Work must be performed in Tri-State Area. That's schedule info. So we can include a Schedule section. Benefits: Not mentioned. Pay: Not mentioned. Skills: Could be derived from qualifications: Microsoft office products, project management tools, communication, analytical skills, detail oriented, etc. Could be a Skills section. Requirements: Could be Bachelor's degree preferred, HealthRules Payer experience required, Healthcare experience required, problem-solving abilities, ability to inspire/motivate others, etc. Qualifications: Might overlap with requirements. But we need to decide which sections to include. The instruction: Prefer a few substantive sections over many thin ones. So we could combine similar info. We have headings allowed: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include sections only if there is real specific content. We have About the role: we have intro paragraph about company culture and vision. That's substantive. Responsibilities: we have many bullet-like responsibilities. We can list them. Requirements: we have Bachelor's degree preferred, HealthRules Payer experience required, Healthcare experience required, problem-solving abilities, ability to inspire/motivate others, etc. Qualifications: maybe we can treat as same as Requirements; but we could have both if distinct. However to avoid thin sections, we could merge Requirements and Qualifications into one? But we need to follow allowed headings; we can include both if they have distinct content. Let's see: The posting repeats "Qualifications - External Qualifications - ..." then later repeats same. So qualifications include: Bachelor's degree preferred, HealthRules Payer experience required, Healthcare experience required, proven problem-solving abilities, inspires and motivate others, etc. Also "Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app." That's a requirement/qualification. Thus we could have Requirements: Education, experience, etc. Qualifications: maybe skills like Microsoft office, project management tools, communication, analytical, detail oriented, etc. But the posting lumps them. Better to have: About the role, Responsibilities, Requirements (education, experience, etc.), Skills (technical and soft skills), Schedule (hybrid model). No Benefits, Pay. Let's extract specifics: About the role: The intro paragraph about organization vision, equity, etc. Responsibilities: list items: - Works on end-to-end configuration solutions and provides optimization support to all Operations teams by bridging the gap between business and technology. - In-depth benefit coding and analysis in HealthRules Payer. - Developing end-to-end configuration strategies of the Health Rules and Front Office System platforms. - Knowledge of hierarchy of system and business rules and their integration and impact to other downstream applications (portals, BizTalk, vendor file feeds, DART, provider and enrollment database, CABs, etc.). - Analyze, determine feasibility, and prove solution concepts for new business, operations enhancement requests, state and federal mandates, BPO/Partnership implementation or introduction of new products. - Portfolio project work assessed; if feasible, develop requirements and/or functional specs to meet business need. - Collaborate with teammates and peers to improve business area daily processes and tasks within Health Rules and Front Office System applications. - Determine system and process feasibility for new clients, lines of business, and/or products. - Focus on resolving tickets and enhancement requests in ServiceNow accurately according to SLAs. - Identify and define process improvements across operations with business partners (sales/account management, claims, billing and enrollment, clinical services, IT, product, etc.). - Retrieve, analyze, organize, report and configure data as needed to support decision making and optimization within operations business areas; identify global trends in operational issues. - Understand system changes and impacts and determine if new processes or configuration is required. - Implement improved processes, best practices in configuration and management methods to generate higher ROI and workflow optimization. - Provide support to Configuration Solutions Analyst. - Have a global view of interactions with other systems or business needs to determine levels of impact. - Demonstrate experience using Microsoft office products and project management tools. - Effectively communicate and use analytical skills to convey complex ideas to users, business systems analyst, IT and officer level management. - Detail oriented and understand corporate objectives; ability to follow through on project life cycle while maintaining target deadlines; develop contingency project plans. That's a lot; we can put as
  • . Requirements: Education/experience etc: - Bachelor’s degree in related field preferred. - HealthRules Payer experience required (candidate will not be considered without). - Experience in Healthcare required. - Proven problem-solving abilities to understand root cause, provide impact assessment, follow through on process improvement to avoid additional exposure. - Inspires and motivates others to support a culture of accountability/execution by setting clear expectations and measuring success through performance to drive organizational results. - Must have an Android or iOS device compatible with the free Microsoft Authenticator app. Skills: Could include: - Above average analytical skills. - Effective communication skills. - Analytical skills (already). - Detail oriented. - Ability to follow through on project life cycle, meet deadlines, develop contingency plans. - Experience with Microsoft Office products. - Experience with project management tools. - Ability to convey complex ideas to various stakeholders. - Global view of system interactions. But some of these overlap with responsibilities. However we can still list. Schedule: Hybrid model: office 3 days (Tuesday, Wednesday, Thursday); remote 2 days (Monday, Friday); work must be performed in Tri-State Area of Delaware, New Jersey, or Pennsylvania. We should not include Benefits or Pay as not mentioned. Now produce HTML fragment. We need to use

    for section headings. Use
    • for any list of duties/requirements/benefits, and

      for prose. Thus:

      About the role

      Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us

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