Configuration and Business Analyst Manager

PREMERA. Applying innovation and strategy to create leading-edge health coverage and benefit solutions for our members. PREMERA’s culture promotes individual development, fosters innovation, and rewards success. We are creative, strategic thinkers who use our talents to fulfill our mission of creating peace of mind for our members. First established in 1933, the PREMERA family of health-care companies is headquartered in Washington and serves over 1.5 million members in several Western States. Our unique value proposition is built on a strong local presence and national capabilities. If you would like to apply your skills and experience to create health-care solutions, consider the following position: Job Summary: The incumbent will have Premera-wide responsibility for overseeing all aspects related to the core configuration of the Dimensions system; including the functional areas of product, claims, utilization management, provider, provider pricing, membership, billing, finance components of the Facets processing system software. This position is responsible for the configuration to accurately and efficiently administer the provider contracts, member contracts, claims adjudication, group enrollment and billing, and related functions such as financial reporting, actuarial reporting, utilization management, and support of interface and enhancement development. This position also manages the ongoing maintenance of the Dimensions system configuration and the monitoring and resolution of production issues and needs relating to provider contracts, member contracts, and claims adjudication and supporting functions. The Configuration Manager is also responsible for the Facets Business Analyst team. This team works closely with the business to capture business requirements related to work requests and projects. They work closely with IT to ensure that those requirements are in an acceptable format to translate into design and development. Responsibilities: 1. Oversee the definition of the business functional requirements for the core processing system and ensure that functional components and data integrity 2. Support the product and group set up activities to ensure groups are set up accurately and within targeted timeliness that meet the Corporate MTM objectives. 3. Provides thought leadership and direction to key groups on configuration related activities in support of implementing new requirements 4. Works collaboratively with PS&D and the Business Process Owners to ensure accurate and timely product implementation 5. Oversee tasks related to business requirements gathering for Facets SDLC related work. 6. Ensures product configuration supports all company targets including auto-adjudication goals 7. Manage configuration of the core processing system to ensure that the new development accurately and efficiently. 8. Ensure that ongoing configuration maintenance is performed timely and accurately. 9. Act as Premera business conduit to TriZetto and to Blues plans company-wide to obtain additional Facets functionality information and to initiate and monitor resolution to system configuration issues. 10. Oversee the development of tools and processes that monitor the quality of configuration and data in support of corporate accuracy goals and reporting requirements. 11. Interview, hire, coach, and provide direction and support to staff to ensure quality and timely results; assessing development needs and ensuring that this team of diverse expertise and accountability is sufficiently cross-trained to cover all functional areas. 12. Allocate resources as necessary to meet corporate priorities, collaboratively working with requesting departments to determine appropriate timing of new development, adjusting resources as necessary to support the work effort. 13. Manage/recommend staffing and budget requirement needs forecasting based upon the corporate initiatives and approved budget. Minimum Qualifications: 1. Bachelors degree in business or equivalent work experience 2. 8+ years people management experience with mastery in all management skills 3. 5+ years related operations or business experience 4. Healthcare experience 5. Five years experience in an automated information processing system environment 6. Demonstrated success in project management leadership and implementation 7. Ability to manage a multitude of assignments at once 8. Ability to lead, influence, and guide team members toward project goals 9. Demonstrated business analysis and research skills; demonstrated ability to identify issues and propose methodological solutions 10. Demonstrated excellence with documentation and communication skills 11. Demonstrated negotiation and problem solving skills 12. Ability to effectively deal with rapid change in a positive manner and to lead staff through changing priorities Additional Qualifications Preferred: 1. Healthcare system configuration and implementation experience 2. TriZetto Facets software experience 3. Eight to ten years of healthcare experience