Company :

United Concordia Dental

Job Description :

JOB SUMMARY

* Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen and must also pass a background check. *

This job performs data testing and analysis tasks primarily on data files, but also for portions of system implementation, enhancements, and change requests. Incumbent may be responsible for one or more of the following: understanding system functionality, participating in problem solving sessions, identifying process gaps, conducting impact analysis, identifying data problems, analyzing data problems, solving data problems, identifying risks, documenting risks, discussing findings with management team, making recommendations, documenting department procedure documentation, running system reports to extract data, and/or participating in training on specific applications. May provide guidance and mentoring to lower level employees.

ESSENTIAL RESPONSIBILITIES

• Conduct system testing for data files, communicate results internally and externally, monitor and respond to email database inquiries from clients, analyze enrollment/eligibility, and process EDI file transmissions

• Run system reports, document procedure and risk, solve more complex problems that may arise, identify process gaps, and conduct impact analysis.

• Create eDelivery directories, conduct internal data review, and create customer profiles.

• Develop simple system reports to extract and manipulate data. Identify and implement small process improvements.

• Other duties as assigned.

EDUCATION

Required

• High School/GED

Substitutions

• None

Preferred

• Bachelor's Degree in Computer and Information Science

EXPERIENCE

Required (one or more of the following)

• * Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen and must also pass a background check. *

• 3 - 5 years in a Business Analyst role

• 3 - 5 years in Data Analytics

• 3 - 5 years in an Electronic Data Interchange (EDI)

• 3 - 5 years in Communications

• 1 - 3 years Enrollment

• 1 - 3 years on Process Improvement

Preferred (one of the following)

• 1 - 3 years in Reporting

• 1 - 3 years in Data Modeling

SKILLS

• Communication Skills

• Analysis of business problems/needs

• Data Analysis

• Eligibility

• Enrollment Systems

• MS Excel

• Problem Solving & Decision Making

• Testing Skills

• MS Access

• B2B

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$50,200.00

Pay Range Maximum:

$90,300.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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Req ID: J242512