Business Systems Analyst - IT

Health Net, Inc. (NYSE: HNT) is among the nation’s largest publicly traded managed health care companies. Health Net’s mission is to help people be healthy, secure and comfortable. The company’s POS, HMO, insured PPO, behavioral health and government contracts subsidiaries provide health benefits to more than 7 million individuals. For more information on Health Net, Inc., please visit the company’s Web site at www.healthnet.com

 

JOB SUMMARY:

 

The IT Business Systems Analyst serves as a senior-level business systems analyst for a variety of cross-functional business analysis activities. Duties include providing complex business and systems analysis, business requirements, and user test planning and execution on critical corporate & departmental initiatives.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES: Develops and/or reviews complex departmental business system requirements and business systems design documents, customer acceptance test plans, and post-implementation plans. May include review and audit of deliverables produced by other team members. Provides analytical support for critical corporate initiatives, including business function support for system migrations and consolidations, significant business area process improvement projects, and complex product installations. Responsible for consulting with business areas and project managers for development of implementation strategies, departmental desk level procedures, and departmental training materials.Acts as a lead over a team of business systems analysts, managing analytical resources, scheduling project work, assigning projects and tasks to team members, and reporting overall team status and accomplishments to management.Assists management in the quarterly and annual evaluation of team members.Establishes strategic and tactical goals for the department and health plan operations through new technology and improved business processes.Facilitates communication with management to prioritize project work and build detailed business cases.Prepares and presents detailed business cases for review by management and corporate steering committees.Works directly with external customers in implementing new technology (e.g., web user interfaces, outsourced vendor arrangements, and EDI interchanges) and resolving customer service issues.Develops standards and protocols for project deliverables of all departmental team activities to ensure quality and timely delivery of documents.Develops training materials, and conducts training sessions for team members and other interested parties in the department.Researches new technology and evaluates potential application within the department.Leads efforts to evaluate the acquisition of 3rd party software. Produces RFI's, facilitates system demonstrations, assists in development of pricing structures, and provides recommendations to management.



REQUIREMENTS:

 

Education:

Bachelor’s degree.

 

Certification/License:

 

Experience:Minimum five years analytical and data processing experience with experience on large-scale business analysis or development projects and proven leadership abilities. Three years experience in insurance HMO or MC setting.

Knowledge, Skills & Abilities:Very strong research, analytical, organization, and time/project management skills required. Ability to work in a self-directed manner with minimal direction and oversight. Ability to drive positive results in difficult circumstances with ability to cope with rapid change. Possesses an excellent understanding of health industry data elements, understands how elements are used within departmental processes. Possesses a strong understanding of regulatory requirements essential to supported functional area. Must possess a very high level of subject matter expertise in functional area supported, which may require expertise in benefits, claims adjudication, provider or employer contract administration, member and provider demographic management, and/or call center administration. Must possess thorough knowledge about Health Net’s product portfolio. Must possess an advanced ability to conceptualize, and design new methods for practical application; Must excel at identifying how changes will impact current processes, and must be adept at proposing options for managing change in a cost-effective manner. Must possess strong communication skills, especially the ability to explain system and technical topics to others that may have minimal technical skills. Possesses ability to train lower level staff or new hires on job duties. Must be detail oriented and maintain the highest productivity and quality quotient. Thorough knowledge of and demonstrated skills in use of word processing and data analysis software such as Microsoft Word, Excel and/or Access is required; knowledge of other data analysis tools desired; thorough knowledge of presentation software such as MS PowerPoint and Visio required. Depending on department, position may require competency in data extraction and reporting tools such as MS Access, Focus, Crystal Reports, Interactive Query and Business Objects; may require understanding of relational databases.

OR
Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.

 

Health Net, Inc. supports a drug-free work environment and requires pre-employment background and drug screening.

 

Health Net and its subsidiaries are an Equal opportunity/Affirmative Action Employer M/F/V/D.