What are the responsibilities and job description for the Business Systems Analyst III-IV position at Medical Mutual?
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.
Business Systems Analyst III
Provides the interface between clinical business teams (Case Management, Clinical Claims Review, Quality Management & STARS, Utilization Management, etc.) and information technology areas to identify business requirements based on an understanding of priorities and high-level concerns of both areas. Must have a solid understanding of data elements that are recorded in electronic healthcare records and can facilitate leveraging appropriate clinical data within payer solutions. Committed to data quality with keen analytic skills to identify issues and creativity to recommend innovative solutions. Works with the systems development team or vendor implementation team throughout the project life cycle to ensure that provided system solutions meet business needs. Facilitates development of the business case and project estimates for the proposed solution. As required, functions as a project leader on small-scope projects.
Business Systems Analyst IV
Provides the interface between clinical business teams (Case Management, Clinical Claims Review, Quality Management & STARS, Utilization Management, etc.) and information technology areas to identify business requirements based on an understanding of priorities and high-level concerns of both areas. Must have a solid understanding of data elements that are recorded in electronic healthcare records and can facilitate leveraging appropriate clinical data within payer solutions. Committed to data quality with keen analytic skills to identify issues and creativity to recommend innovative solutions. Works with the systems development team or vendor implementation team throughout the project life cycle to ensure that provided system solutions meet business needs. Facilitates development of the business case and project estimates for the proposed solution. As required, functions as a project leader on small-scope projects.
Responsibilities
Business Systems Analyst III
- Captures business needs and shapes requirements through dialogue with business partners and IT. Leads the development of the business case and project estimates for the proposed solution.
- Research alternative solutions, develops documentation of solutions and verifies against user requirements. Obtains approval on requirements.
- Leads the testing, implementation, and training phases of systems projects.
- Coordinates design reviews and walkthroughs to communicate systems designs and validate proposed solutions.
- Provides project management leadership and coordination as needed.
Business Systems Analyst IV
Qualifications
Business Systems Analyst III
Education and Experience
Technical Skills and Knowledge :
Business Systems Analyst IV
Education and Experience
Technical Skills and Knowledge :
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
Excellent Benefits
An Investment in You
About Medical Mutual
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we do not answer Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There is a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Our plans provide peace of mind to more than 1.5 million Ohioans.
We are not just one of the largest health insurance companies based in Ohio, we are also the longest running. Founded in 1934, we aree proud of our rich history with the communities where we live and work.
At Medical Mutual and its family of companies 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.
Salary : $5,250
