At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.
At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.
Acts as the primary contact to provide answers, perform research or any other activities required to answer questions in a timely manner. Is the lead subject matter expert and holds the primary relationship with peers and business. Perform walk-throughs of configuration design and testing results to obtain necessary approvals to move forward into implementation. Acts as a configuration resource for all projects.
Completes deliverables independently and within an agile team setting. Coordinates responses to both external and internal audits.
Required understanding ofand experience related to healthcare claims payment configuration process/systems and its relevance/impact on network operations. Role will need expertise in Medicare regulations, QNXT configuration related to pricing, benefits, provider data, claims configuration, and surround systems that support accurate adjudication
• Comfort with SQL programming, MS Excel preferred.
• Knowledge of Medicare Advantage preferred.
Job Summary
SummaryResponsible to support users to understand complex clinical and business workflows, define functional requirements, convey requirements to colleagues engaged in software design and configuration activities, execute test scripts and user acceptance testing, and provide software support services. Responsible for evaluating and documenting existing business processes and recommending optimization efforts to re-engineer processes accordingly.
Essential Functions
-Document and analyze complex business processes and workflows to drive business process improvements and ensure accurate system configuration.
-Identify and recommend best practices for business analysis, training, and end user support functions.
-Perform data discovery, analysis and modeling to inform / influence business decisions and project planning.
-Collaborate with architects and program managers on roadmap planning and prioritization.
-Develop and execute user acceptance testing plans including creation of test cases.
-Communicate status of various team efforts to leadership and stakeholders, including preparing presentations.
-Mentor and train junior team members.
Qualifications
Education Bachelor's Degree Information Systems required or Bachelor's Degree Related Field of Study required Can this role accept experience in lieu of a degree? Yes Licenses and Credentials Experience experience in information technology, working with business or clinical systems 5-7 years required Knowledge, Skills and Abilities - Strong analytical and conceptual thinking skills. - Ability to influence stakeholders and work closely with them to determine acceptable solutions. - Excellent documentation skills. - Experience conducting data analysis, creating detailed reports and using data to influence outcomes / business decisions.
Additional Job Details (if applicable)
Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)
Remote Type
Remote
Work Location
123 Main Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.