Phoenix, Arizona

**Company :**

HM Health Solutions

**Job Description :**

**JOB SUMMARY**

This job performs complex Business Systems testing and analysis tasks on business system implementation, enhancements and change requests with minimal supervision and wide latitude for independent judgment. The incumbent reviews the work of other Business Systems Testing/Quality Analysts. Acts as a subject matter expert on team, and provides training, mentoring, and direction for other Business Systems Testing & Quality Analysts. The incumbent may be responsible for one, or more of the following; develops test scripts and cases, performs usability testing to ensure compliance/quality with system design and business/regulatory requirements, documents results, and discusses findings with management team. Creates and/or runs complex system reports that extract data for use in the analyses. Performs data analysis, to determine business issues, trends, and identify risks / issues with key processes or requirements. Participates and/or leads problem solving sessions to correct identified issues and/or concerns.

**ESSENTIAL RESPONSIBILITIES**

+ Perform complex Business Systems testing and analysis tasks on business system implementation, enhancements and change requests with minimal supervision and wide latitude for independent judgment. Conduct one, or more of the following; develop test scripts and cases, perform usability testing to ensure compliance/quality with system design and business/regulatory requirements, documentation of results, and discuss findings with management team.

+ Perform data analysis, to determine business issues, trends, and identify risks/issues with key processes or requirements.

+ Create and/or run complex system reports that extract large amount of complex data used in analyses to identify issues and trends.Create training material/process improvements to reduce and/or eliminate issues.

+ Participate in problem solving sessions to correct identified issues and/or concerns.

+ Mentor Business System Testing & Quality Analysts and review the work of other Business Systems Testing/Quality Analysts.Act as a subject matter expert on team, and provide training and direction for other analysts.

+ Other duties as assigned.

**EDUCATION**

**Required**

+ Bachelor's Degree in Business Administration/Management or Information Systems

**Substitutions**

+ 6 years of related and progressive experience in lieu of Bachelor's degree

**Preferred**

+ None

**EXPERIENCE**

**Required**

+ 3 years in IT Testing, Quality and Systems Analysis

**Preferred**

+ Medical Claims

+ Manual Testing

+ 3 years in a Call Center environment

+ 3 years with Claims Administration

+ 3 years with Enrollment

+ 3 years with Billing

+ 3 years in Information Systems

**LICENSES AND CERTIFICATION**

**Required**

+ None

**Preferred**

+ None

**SKILLS**

+ Analytical Skills

+ System Testing

+ Microsoft Office

+ Communication Skills

+ Business Requirements

+ Report Writing

**Language (Other than English)**

None

**Travel Required**

0% - 25%

**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**

**Position Type**

Office-Based

Teaches / trains others regularly

Does Not Apply

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

**_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._

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, 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, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf_ )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J195900

Phoenix, Arizona

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Whether your focus is nursing, information technology, actuarial, finance, marketing, sales, operations or one of our many other professions, our companies offer opportunities to develop and expand your career while making health care accessible, understandable and affordable for our millions of members, patients and customers.

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