Production Support Business Analyst

Let’s do great things, together

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Job Summary:

Moda Health is seeking a Production Support Business Systems Analyst who will act as a liaison between business and technical users to gather and document business requirements, business processes, system flows and functional system designs for break fixes, system upgrades, ongoing product implementations and small IT service requests. The Production Support BSA is responsible for providing IT support throughout the software development lifecycle, including testing and production implementation. To excel in this position, you should be self-motivated with strong analytical skills, in-depth knowledge of business systems analysis techniques and possess strong verbal and written communication skills. Experience with TriZetto Facets and/or Edifecs Enrollment Management system preferred.

Moda has contracts to hire candidates from the below States ONLY. This a full-time remote position for candidates living or willing to relocate to the following States ONLY: AK, AZ, FL, ID, OR, TX or WA.

• FSA
• Benefits:Medical, Dental, Pharmacy and vision coverage
• Full time minimum7.5 work days with 37.5 work weeks
• Follow the link below and complete an application for this position.https://j.brt.mv/jb.do?reqGK=27699478&refresh=true
• PTO and paid holidays
• Schedule:PST
• 401K

Primary Functions:

1. Performs ongoing production support and bug fixes for assigned applications.
2. Performs best practice requirements engineering for all aspects of SDLC activities. To include eliciting, analysis, and prioritization of functional and non-functional requirements.
3. Collaborates with business and technical teams in defining and documenting detailed functional specification requirements, reviewing, analyzing and approving acceptance criteria for conversion, interface, and system enhancements.
4. Creates the functional specifications based on the finalized requirements for the designated functional systems, and at the correct time, converting systems to Moda Company Standard Software Systems.
5. Participates as a team member in short-term stabilization efforts involving existing systems and processes.
6. Participates in the development of business cases, contingency plans, business metrics and measurements, process models, training materials, new procedures, test scripts, ad-hoc reports, and smart solutioning for process improvements.
7. Participates in the review and approval of system designs, logical data designs, report design, interface designs, and conversion plans. Reviews and approves high-level data flows, functional specifications, and system for implementation. Suggests design alternatives.
8. Acts in review and approval capacity in the establishment and maintenance of unit and user acceptance testing and prioritization of requests for system enhancements, and system implementations.
9. Performs system testing of enhancements, conversions, and interface systems.
10. Develops and documents test plans and outcomes at a level of details that allows research and analysis.
11. Performs post implementation, quality assurance and troubleshooting. Develops both user and business unit technical documentation for system enhancements.
12. Performs other duties as assigned.

Requirements:

1. 2+ years of experience in analysis, either technical or business related.
2. Knowledge of PC, Server Based and desktop applications including spreadsheets, word-processing and email.
3. Must be able to facilitate large and small group meetings or working sessions.
4. Proven skills in critical thinking, time management, and problem solving.
5. Demonstrated procedural and technical writing skills.
6. Must be able to work effectively within a production support team and in collaboration with peers.
7. Ability to work well under pressure, in a fast-paced environment, with frequent interruptions and shifting priorities. This includes working on multiple assignments simultaneously.
8. Ability to independently plan, organize, and prioritize task assignments to ensure quality standards and deadlines are met.
9. Ability to communicate effectively, both verbally and in writing, with business and technical personnel.
10. As applicable; a commitment to acquire the ability to read, write, and execute SQL statements.
11. Ability to maintain confidentiality and demonstrate a professional business image.
12. Resilient work ethics; demonstrating professionalism, punctuality, and reliability.

Preferred Requirements:

1. College Degree or equivalent work experience in related field.
2. Experience as a Business Systems or Program Analyst
3. Experience in the health insurance administration industry
4. Experience with Facets systems development
5. Subject matter expertise in Claims Processing, Claims Pricing, Clinical Editing, Benefit Config, Membership and/or Provider Processing.
6. Ability to read, write, and execute SQL statement.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.