Company :Highmark Inc.Job Description : 

JOB SUMMARY

This job analyzes, codes, and compares basic client and group data, as well as provides general production support, meeting defined service level agreements.  Assists in collaborating with internal stakeholders to understand low complex business requirements and processes related client, product, and benefits configuration solutions.

ESSENTIAL RESPONSIBILITIES

Perform basic analysis using knowledge of simple business rules by interpreting data from various sources and formats and utilize the data for configuration activities.Process work requests for new work items and change requests related to end-to-end benefits solutions.  May document and execute low to medium complex product and benefit configuration rules.Responsible for less complex verification that the delivered data and rule configurations meet the customer needs based on the product specifications, ensuring minimal coding errors in both configuration environments and production. Assist in and is accountable for identification, documentation, and escalation of risks, data errors and issues throughout the configuration process.  Accountable to assist in providing configuration status and ensuring customer service level agreements are met.Other duties as assigned or requested.

EDUCATION

Required

High School Diploma/GED

Substitutions

None

Preferred

Associate’s Degree in Healthcare Administration, Business, Information Science or other related field

EXPERIENCE

Required

1 - 3 years of experience in health care industry or other related field

Preferred

None

LICENSES AND CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Excellent detail-oriented skillsGood customer service skills with some exposure working with customers, sales, and/or clientsGood oral and written communication skillsAbility to understand and resolve simple data relationships, data conflicts, and data discrepanciesAbility to apply logical thinking and critical thinking skillsAbility to understand and apply business rules and configuration conceptsAbility to work independently, as well as, part of a team to produce resultsAbility to assess, resolve, and mitigate impacts to simple cross-functional and/or inter-related processes

LANGUAGE REQUIREMENT (Other than English)?

None

TRAVEL REQUIREMENT

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches/Trains others regularly

Rarely

Travels regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (Sales employees)

Does Not Apply

Physical Work Site Required

No

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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