BCT Systems Specialist - #1408772

This job was posted by https://www.kansasworks.com : For more

information, please see: https://www.kansasworks.com/jobs/13275866

Responsibilities

• Responsible for the establishment of common benefit coding
  
  

structures within the enterprise.

• Responsible for running claims impact reporting for identified
  
  

issues.

• Responsible for analyzing claims impact reporting for identified
  
  

issues, communicating recommended steps to downline areas.

• Responsible for assisting in the BT compare process to identify
  
  

potential gaps or issues in benefits/products.

• Implements and documents the capturing of product business rules,
  
  

coverage, and benefit rules within the Product Machine.

• Creates new structural components such as Benefit Types (BT),
  
  

accumulators, etc.

• Coordinates with impacted downstream systems regarding rollout of
  
  

product changes.

• Independently determines the best approach to solve problems.
• Requires the ability to run multiple projects simultaneously.
• Coordinates departmental communication regarding system problems,
  
  

modifications, and upgrades.

• Identifies and documents system problems, modifications and notifies
  
  

Supervision and Information Services.

• Evaluates, researches, and resolves user identified system problems
  
  

and documents the conclusions.

• Develop policies and administrative procedures.
• Provides research, instruction, and assistance to all users.
  
  

**What you need**

Knowledge/Skills/Abilities

• Ability to analyze, solve problems, make decisions, and present
  
  

facts in a logical manner that may or may not be documented by

established procedures.

• Ability to work independently to meet critical deadlines.
• Demonstrated ability to develop, document and maintain operational
  
  

policies and procedures.

• Experience with documenting detailed process flows.
• Ability to interpret new product and benefit designs and translate
  
  

them into code.

• Excellent verbal and written communication skills are necessary to
  
  

effectively resolve problems and interact with all levels within the

company.

• Knowledge of Product Machine, Plan Configurator, Eligibility, and
  
  

components is preferred.

• Knowledge of Product Machine relationships with all downstream
  
  

systems is preferred.

• Familiarity with Rally, SBM (Serena Business Manager), and QA
  
  

Complete is preferred.

• Familiarity with healthcare insurance rules and regulations (HIPAA).
• Requires a high degree of analytical skills.
  
  

Education And Experience

• High school education or equivalency required.
• College degree in Business Administration, Management, or
  
  

Communications preferred.

• Five years of membership experience is preferred.
  
  

Other Job Functions

• Performs job related projects as assigned by leadership.
• Represents and leads the Membership Department on cross-divisional
  
  

teams or projects impacting Membership Systems or processes.

**Benefits & Perks**

• - Base pay is only one component of your competitive Total Rewards
  
  

package**:**

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• Health & fitness benefits, discounts and resources