Manager Priority Health Business Systems Analysis - Grand Rapids, United States - Corewell Health

Mark Lane

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Mark Lane

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Description
Job Summary

Essential Functions

  • Management Responsibilities (Strategic): Contributes to the overall management strategies of the department. Responds to the needs of the department and its team members. Collaborates with other managers, supervisors and team members to solve technical and personnel issues. Clarifies direction provided by senior management. Recommends policy changes to improve department. Works closely with other supervisors and managers to assure proper alignment with long term team, department and corporate goals. Responsible for the technical and interpersonal performance of individual team members. Provides input into the development of departmental budgets. Manages costs to approved budget. Participates in Agile/SAFe ceremonies to support value streams.
  • Management Responsibilities (Day to Day): Effectively leads the daytoday running of configuration areas including turnaround times and quality standards. Effectively and actively works within the Business Analytics Team to allow for the free flow of idea in an open atmosphere. Represents team in meetings and projects as requested by management. Monitors audit reports and spreadsheets to ensures that we are compliant with SAS70. Develops, implement and maintain performance tracking and trending tools to allow for daily monitoring of team's performance level for all functions. Assists and/or performs hiring, evaluations and terminations of employee(s) supervised in accordance with Priority Health policy. Identifies training needs within teams and develops appropriate action plans.
  • Solution Architecture &

Product Management:

Provides project and program management expertise and support to capital and strategic initiatives, promotes and develops these capabilities within members of assigned teams.

Participates to ensure successful delivery of a wide range of small/medium large and enterprise-wide projects and programs. Participate in the Process Improvement Planning (PIP). Participate in PMO resourcing and planning meetings.

Effectively identify configuration and business opportunities, assist in determination of business value to work with claims value stream to determine impact, and priority.

Able to lead execution of configuration automation and strategic initiatives as assigned by management. Communicate project goals in a clear and timely manner. Give input and sets priorities on a small, medium and large scale. Identify, secure and coordinate BSA department resources.


Qualifications:

Required

  • Bachelor's Degree or equivalent in healthcare or a related field
  • 5 years of relevant experience leading teams in use/configuration/maintenance/testing of FACETS software (or comparable healthcare payer business system)
  • Experience with FACETS software preferably in one or more of the following areas: Pricing configuration/maintenance, Provider configuration/maintenance, Product configuration/maintenance, Group Administration configuration/maintenance, Enrollment maintenance, Claims
Preferred

  • 5 to 7 years of experience in FACETS system configuration and/or FACETS business architecture design
  • 5 to 7 years of experience managing cross functional teams
  • Directing, mentoring and developing teams of five to ten associates or more
  • Experienced in problem resolution, business requirements analysis or database configuration preferred
  • Experienced in business process development and mapping
  • 3 to 5 years of experience in system testing
Physical Demands

  • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
  • Waist to Waist > 5 lbs: Seldom up to 10 lbs
  • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
  • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
  • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
  • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
  • Pushing Force > 5 lbs: Seldom up to 10 lbs
  • Pulling Force > 5 lbs: Seldom up to 10 lbs
  • Sitting: Frequently
  • Standing: Occasionally
  • Walking: Occasionally


  • Forward Bend

  • Standing: Seldom


  • Forward Bend

  • Sitting: Occasionally


  • Trunk Rotation

  • Standing: Seldom


  • Trunk Rotation

  • Sitting: Occasionally


  • Reach

  • Above Shoulder: Seldom


  • Reach
- at Shoulder or Below: Seldom

  • Handling: Occasionally
  • Forceful Grip > 5 lbs: Seldom
  • Forceful Pinch > 2 lbs: Seldom
  • Finger/

Hand Dexterity:
Frequently


Primary Location
SITE - Priority Health E Beltline - Grand Rapids


Department Name
PH - Business Systems Leadership


Employment Type
Full time


Shift
Day (United States of America)


Weekly Scheduled Hours
40


Hours of Work
8:00 a.m. to 5:00 p.m.


Days Worked
Monday to Friday


Weekend Frequency
Variable weekends

  • Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally p

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