Lead Business Systems Specialist
Description
Leads the analysis and solutions in support of technical process and system changes and reporting outcomes for claims adjudication and administration systems. Leads various teams to ensure the development, testing, implementation and maintenance of claims and customer care end-to-end processing.
Responsibilities
Creates solutions for complex multi-departmental projects as a liaison between various business and Information Technology departments
Resolve project obstacles that may impact project milestones from being achieved
Identifies and streamlines processes and implements procedural solutions for processes or projects
Determines priorities and facilitates status meetings including findings and recommendations
QualificationsBachelor's degree in Business Administration, Information Technology or related filed or equivalent combination of education and experience
6 years progressive project administration experience in health insurance operations and/or business systems or other relevant experience
Experience working and building intra/inter departmental relationships
Project Management Certification strongly preferred
Business Analysis Certification preferred
Comprehensive knowledge of project management methodologies
Comprehensive knowledge of claims adjudication systems and processes and contract/regulation language
Demonstrated proficiency in research techniques and system analysis
Ability to understand and translate technical concepts
Advanced Microsoft Office skills
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees.
That's why we offer an exceptional package that includes:
A Great Place to Work:
- Top Workplace in Northeast Ohio. Seven years in a row we've received this recognition!
- On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
- On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
- Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
- Business casual attire
Excellent Benefits and Compensation:
- Competitive compensation plans
- Employee bonus program
- 401(k) with company match and an additional company contribution
- Excellent medical, dental, vision, and disability insurance
An Investment in You:
- Career development programs and classes
- Mentoring and coaching to help you advance
- Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for 80 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!
At Medical Mutual we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Primary Location:US-OH-Cleveland Schedule:
Full-time Job Posting:
Apr 19, 2017, 8:
38:
21 AMEstimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
