Job description
Job Brief
A Facets Business Systems Analyst for New Business analyzes and researches Medicaid, Medicare and Exchange benefits and payment for prospective markets to determine business rule.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
A Facets Business Systems Analyst for New Business analyzes and researches Medicaid, Medicare and Exchange benefits and payment for prospective markets to determine business rule. They are responsible for documenting findings and maintaining global business rules for the AmeriHealth Family of Companies. Additional responsibilities include reviewing provider contracts, communicating configuration concerns, business rule gaps and supporting the team implementing the new business. They will attend Issue Resolution and Lesson Learned meetings to support the company’s growth in New Business.
Education/Experience:
- Bachelor’s Degree in Business Administration or Information Technology or equivalent technical experience.
- Three years Business Analyst, Configuration, or Related Business Area.
- Microsoft Access or equivalent relational database application experience. Ability to build complex queries, reports, and macros.
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