Virginia Premier Health Plan Systems Analyst II in Glen Allen, Virginia

About Us

Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.

By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.

At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.

If this sounds like you, read on!

Overview

The Systems Analyst II performs moderate to complex configuration activities within QNXT and is responsible for developing an extensive expertise in the QNXT Administration and Configuration portals and the third party applications supporting the system. This position is responsible for coordinating and maintaining assigned member facing QNXT components for the program and plays a key role in the configuration and support of existing and new lines of business. Responsibilities include but are not limited to the maintenance of QNXT Medical codes, finance codes, system configuration for benefit plans, organizational and medical policies, benefit application analysis, contracts, CES testing and documentation.

In addition a Systems Analyst II may be the primary contact for one or more QNXT system interface applications and is expected to provide a high level of expertise with matters relating to this interface and its functionality.

Responsibilities

  • Understand business goals and translate them into configuration requirements

  • The ability to perform data analysis and draw business conclusion for decision making

  • Identify key components of a project and evaluate the impact across the organization

  • Understanding all aspects of program operations, including policies and procedures, program guidelines, file layouts and requirements, general rules and regulations in order to exercise good judgment in the use of configuration standards

  • Maintain and support claims as assigned, including stand-alone software systems and QNXT functionality

  • Creates complex design documents through the assessment of requirements; assesses alternatives to different designs and chooses bets best solution to fit business needs

  • Recommend improvements and assess the work of other team members

  • Work in cooperation with other company analysts and staff to accomplish business objectives

  • Create, understand and articulate data regarding program operations

  • Assist QNXT Development Team in other activities as directed

Qualifications

MINIMUM EDUCATION REQUIREMENTS

  • Bachelors Degree preferred

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Proficient knowledge of Microsoft Office products

  • Strong knowledge of software implementation / development life cycle

  • Strong documentation skills

  • Excellent communications/teamwork skills

  • Knowledge of TriZetto products and applications helpful

  • Knowledge of 837 and 835 record layouts is helpful

  • Proven ability to analyze data and processes

  • Experience with developing process flow charts or similar diagrams

  • Proven ability to work independently while managing multiple tasks and priorities

WORK BACKGROUND/EXPERIENCE

  • 2+ years business experience possibly including Claims or Healthcare related experience (Medicare and Medicaid Managed Care) preferred

  • 2+ years of experience working in Information Systems (system configuration, SQL/Oracle platforms) preferred

  • 1+ year experience writing TSQL or SQL queries preferred

  • 1+ years MS SQL server experience including: SQL Server Reporting Services 2005/2008, SQL Server Integration Services 2005/2008 preferred

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

Job ID 2018-5397

As an equal opportunity employer, Virginia Premier is committed to a diverse workforce. To ensure non-discrimination and affirmative action for individuals protected by Executive Order 11246, as amended, Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Veterans’ Readjustment Act of 1974, as amended, and Title I of the Americans with Disabilities Act of 1990, as amended, Virginia Premier will consider applicants for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Applicants who require accommodation in the job application process may contact Recruitment at 804-819-5151 for assistance. It is the policy of Virginia Premier Health Plan, Inc., to comply with the requirements of the Drug-Free Workplace Act of 1988. It is a violation of our drug-free workplace policy to use, possess, sell, trade, and/or offer for sale alcohol, illegal drugs or intoxicants in our workplace. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Virginia Premier participates in E-verify.