Title: Business Systems Analyst - Claims Operations
Location: King of Prussia, PA or U.S. Remote
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Health Solutions delivers industry-leading clinical evidence and expert technology to help payers and providers collaborate for better healthcare outcomes at lower costs. Our solutions reduce unnecessary healthcare utilization while improving outcomes; operationalize complex volume- and value-based payment models; and optimize billing communication between providers, patients and payers. Our solutions are in more than four out of five payers in the country; more than 3,900 hospitals and facilities use our InterQual® evidence-based decision support criteria; and our RelayHealth® financial solutions are used to automate 1.9 billion financial transactions each year.
We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.
Join our team of leaders to begin a rewarding career.
The Business Systems Analyst will be monitoring data from benchmarks; driving processes with customers surrounding existing data; act at the SME and Data owner for clients; Utilizing claims operations knowledge.
Takes business needs/wants & translates those needs into measurable requirements that can be coded, tested, & successfully implemented & adopted for products/applications:
Partners with stakeholders to create specifications & identify business requirements for systems & solutions to meet business needs
Defines, analyzes & proposes business solutions based on the business needs
May review/validate test plans, ensuring that the end result meets the specified business requirements
Supports QA activities as needed
Collaborates with technical delivery & solution engineering teams on the details of technical solutions to validate that the strategic business needs are met
Validates & ensures that the proposed solution meets the stakeholders' needs
May lead cross-functional integrated teams to address business & adoption issues (e.g., user experience, data flow, process flow)
May participate in the development process or other steps of the product lifecycle
Serves as a key resource by providing input into the development of new feature/release education
Collaborates with regulatory SMEs to understand how regulation affects products & documents regulatory requirements
Conducts completed business requirements review with stakeholders & documents the acceptance of those requirements
Proven, significant experience in business analysis, requirements definition and deployment of business requirements to information systems.
Strong Claims Operations knowledge; understand the process that claims go through such as claims adjudication
Additional Knowledge & Skills
Understanding of the full cycle of software development methodology.
In-depth knowledge of building systems solutions.
Excellent communication skills at all levels of the organization.
High level knowledge of ERD creation tools such as Erwin, Visio, etc.
Significant experience in business analysis, requirements definition and deployment of business requirements to information systems.
Data mining experience a plus
Strong organizational skills, ability to think and react quick, efficient and adequate according to business requirements and various constraints.
Expert skills with MS Office applications - Word, Excel, Visio
Ability and willingness to learn and use new technologies
4-year degree in computer science or related field or equivalent experience
General Office Demands
Benefits & Company Statement
McKesson believes superior performance – individual and team – that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it’s flexible enough to meet the different needs of our diverse employee population.
We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.
But we can’t do it without you. Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company—and of healthcare. At McKesson, you’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.
McKesson is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
No agencies please.