Responsible for assisting in the ongoing configuration, management and oversight in the Facets system related to Benefits, Finance, Pricing and Workflow Configuration. Requires a blended background of insurance plan experience, coding, billing and claims processing experience and technical proficiency. In order to become completely functional as a Systems Analyst, this position requires one year on the job training.
Perform duties to support the goals and objectives of the Health Plan in its efforts to provide quality service and member and provider satisfaction.
Reports directly to the System Configuration Manager responsible for Benefit, Finance, Pricing and Workflow System Configuration.
Assists in the configuration and management of specified programs, products and services in one of the four major areas within configuration. The position will have one area of focus in either Benefits, Finance, Pricing or Workflow Configuration.
Helps ensure continued operational functionality and accuracy of the Facets system that will in turn lead to membership retention, growth and member and provider satisfaction. Performs duties to support the goals and objectives of Geisinger Health System in its efforts to provide quality patient care and patient satisfaction.
Works under the supervision of the System Configuration Manager on the Customer Service Operations Team.
COMPETENCIES AND SKILLS:
Demonstrates organizational skills and the ability to independently problem solve and follow through on issues to resolution.
Demonstrates exemplary Customer Service by communicating and resolving issues with internal and external customers in a professional and timely manner.
Must be extremely detail-oriented.
Projects image of GHP's dedication to professional excellence.
Demonstrates proficiency in computer operations including software applications in desktop publications, as well as presentation, spreadsheet and network applications.
Demonstrates the ability to work in a multi-task environment where there are pressures of production schedules and deadlines.
Demonstrate skill in mathematics/statistical analysis.
Demonstrates strong writing and verbal presentation skills.
Demonstrates the ability to work independently, problem-solve, and make decisions.
Demonstrates the ability to influence others and work collaboratively in order to produce results across multiple functional teams.
EDUCATION AND/OR EXPERIENCE:
Bachelor’s Degree in Computer Programming, Health Sciences, Business Administration, or similar field. Previous Facets product experience or a minimum of two years Health Plan experience required.
An Associate’s Degree with a minimum of two years previous experience as a configuration specialist or four years Health Plan experience required.
Minimum of six years health care, employee benefits, health insurance or related Health Plan experience required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Working Conditions/Physical Demands:
Work is typically performed in an office environment. Independent travel to other Health Plan offices may be required.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
About Geisinger: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver.We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply.All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.