IT Analyst Ii - claims Applications Services

IT Analyst II

The Claims Applications area is looking for an IT Analyst II to join our team. Our department focuses on the process and payment of claims, managing ancillary products, association programs and vendor integrations. Our IT Analysts II ensure effective and efficient onboarding and roll out of functionalities.

Departmental Summary:

• Basic functional knowledge in end-to-end claims processing
• Assist in troubleshooting system issues related to claims processing
• Understand Federal Employee Program release requirements, translate to specifications and system design
• Attend industry standard work groups
• Working experience in collaborating with business users and quality analysis teams to ensure effective system integration and implementation
• Work experience in data analysis and validation

Departmental Preferences:

• Previous experience working with claims eligibility
• Familiarity of health care insurance systems
• Proficiency working with Excel

The IT Analyst is responsible for helping business partners implement technology solutions by determining the requirements of a business unit, project, initiative, or program, and assisting teams in translating these requirements into user stories and features. The IT Analyst provides general analytical support across projects, initiatives, and business units, as well as the entire organization, and understands key business processes, key business drivers, short and long-term strategy, and related technologies. During development, the IT Analyst deals with issues and questions and provides support in implementing required changes. Additionally, the IT Analyst participates in planning and supports quality efforts.

Responsibilities include:

• Align technology solutions with business strategies comprised of moderate to complex business processes.
• Work with business unit managers, project managers, agile teams, and business stakeholders to identify and capture business problems and non-functional requirements.
• Clearly communicate the organization's options through the business case making full use of external research and industry-specific trends.
• Develop materials and present results from pulled reports.
• Translate business requirements and user stories into functionality and features.
• Aid team in performing technological assessments and assist in developing recommendations based on business relevance, appropriate timing, and deployment.
• Develop recommendations for resolution of problems and review recommendations with team.
• Work closely with developers and end users to ensure technical compatibility and user satisfaction.
• Assist in agenda setting and project prioritization efforts for planning sessions.
• Serve as a key partner with business units, identify requirements and facilitate and manage requirements and user story discovery sessions and drive the development of session documentation.
• Collaborate with team on systems and process automation planning to align with industry best practices and meet business / IT needs.
• Coach employees to make use of technology and information when necessary.

Qualifications:

• Bachelor's degree preferred. Or equivalent work experience.
• Four (4) to six (6) years of relevant system solution development, testing and implementation work experience required.
• In-depth knowledge of business operations, systems requirements, development methodologies, and IT processes and technologies.
• Requires technical, analytical, and interpersonal skills.
• Familiarity with standard and emerging IT processes, tools, and frameworks.
• In-depth knowledge of the insurance industry (e.g., members, eligibility, claims, etc.).
• Experience in eliciting requirements and performing testing.
• Knowledge of Agile, DevSecOps, and Design Thinking Methodologies.
• Experience translating customer journeys into user stories.
• Knowledge of information gathering, planning, and organizing methods and principles.
• Experience in analyzing data to draw business-relevant conclusions and i