Systems Analyst II

Summary

Rising Medical Solutions is a bill review and cost containment company focused on reducing healthcare claims costs through bill review, case management, and utilization review. The Systems Analyst II translates business requirements into technical requirements, collaborates on system implementations and enhancements, supports production issue resolution, and develops use cases, process models, testing materials, and training.

Responsibilities

• Translate business requirements into technical requirements and ensure all system requirements adequately reflect defined business processes and fully support all components of the functional business requirements
• Communicate requirements and collaborate with developers, QA analysts, and other project team members to implement or enhance systems
• Represent Rising in client and partner meetings for system implementations
• Develop a subject matter expertise on one or more aspects of integrations between company and external systems and/or internal systems
• Assist with production support - investigate issues, root cause analysis, report and communicate detailed findings when necessary
• Develop use cases and process/data flow diagrams
• Support the creation and/or create test plans and relevant training materials
• Conduct reviews of systems and identify enhancements that support company strategies and affect key performance indicators
• Conduct training for other Professional Services team members for subject matter knowledge transfers

Skills

• A Bachelor's degree or equivalent
• A minimum of two full years of experience in a business systems analyst or equivalent role
• Must have experience with workers' compensation insurance, group health insurance, medical bill review, and/or relevant health care industry systems and processes
• Must have experience with requirements analysis, interacting with business users to define clear scope, and contributing to cross-functional teams
• Excellent analytical, communication, and problem-solving skills, and experience applying these skills to resolve application design considerations and technical issues
• Must have working knowledge of database and data modeling tools and concepts
• Must have working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models
• Must have experience analyzing XML or EDI messages
• Strong working knowledge of SQL and database concepts to aid in data analysis
• Ability to communicate technical information clearly and participate in collaborative meetings with representatives from internal departments and clients
• Skill in the use of computerized spreadsheet, relational database, and word processing software
• Ability to process computer data and to format and generate reports
• Must have experience creating detailed visual models to support requirements including data flow/workflow diagrams
• Ability to conform to shifting priorities, demands, and timelines
• Ability to quantify results in terms of cost savings and key performance indicators
• Demonstrated history of proactively identifying improvement opportunities in systems and methodologies
• Preferably in an IT-related field

Qualifications

Must Haves

• A Bachelor's degree or equivalent
• A minimum of two full years of experience in a business systems analyst or equivalent role
• Must have experience with workers' compensation insurance, group health insurance, medical bill review, and/or relevant health care industry systems and processes
• Must have experience with requirements analysis, interacting with business users to define clear scope, and contributing to cross-functional teams
• Excellent analytical, communication, and problem-solving skills, and experience applying these skills to resolve application design considerations and technical issues
• Must have working knowledge of database and data modeling tools and concepts
• Must have working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models
• Must have experience analyzing XML or EDI messages
• Strong working knowledge of SQL and database concepts to aid in data analysis
• Ability to communicate technical information clearly and participate in collaborative meetings with representatives from internal departments and clients
• Skill in the use of computerized spreadsheet, relational database, and word processing software
• Ability to process computer data and to format and generate reports
• Must have experience creating detailed visual models to support requirements including data flow/workflow diagrams
• Ability to conform to shifting priorities, demands, and timelines
• Ability to quantify results in terms of cost savings and key performance indicators
• Demonstrated history of proactively identifying improvement opportunities in systems and methodologies

Nice to Haves

• preferably in an IT-related field

Benefits

• Generous Flexible Time Off (take it when you need it!)
• Comprehensive benefit package including health/dental/vision insurance, profit sharing, and 401k matching
• Career Growth Opportunities - We often promote from within
• Professional Development Reimbursement Program (PDRP)
• You will be part of our new Elevate program designed to recognize and reward employees for their hard work
• Remote work