JOB SUMMARY
*** Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen and must also pass a background check.***
In this role, you will play a critical part in supporting United Concordia’s dental claims operations by investigating and resolving system issues, managing a dynamic backlog of tickets, and ensuring data integrity through routine operational tasks. You’ll collaborate with teammates to identify root causes, implement timely solutions, and work closely with UCD stakeholders to gather requirements and translate them into actionable system specifications. The position also involves testing and validating system changes, maintaining thorough documentation, and sharing knowledge to enhance team effectiveness. This is an opportunity to make a direct impact on claims processing efficiency and member satisfaction while working alongside a dedicated and collaborative team.
Key Responsibilities:
- Collaborate with customers, Software Engineers, and Architects to define capability needs and deliver high-quality business solutions, creating and maintaining deliverables such as business vision, requirements, and user interface designs.
- Actively participate in the full software development lifecycle within Agile scrum teams, fulfilling roles such as Business Technical Analyst, User Interface Designer, or Tester.
- Support comprehensive requirements testing, including planning, scenario development, documentation, and defect management, to minimize production issues and analyze customer impacts.
- Ensure adherence to organizational standards and secure necessary approvals throughout the project lifecycle.
- Communicate effectively with team members, customers, and management, including conducting requirement walkthroughs, sprint reviews, reporting project status, and providing clear documentation.
ESSENTIAL RESPONSIBILITIES
- Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.
- Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.
- Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.
- Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.
- Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
- Other duties as assigned.
EDUCATION
Minimum
- Bachelor's Degree in Business Management, Information Systems, or closely related field
Substitutions
- None
Preferred
- None
EXPERIENCE
Minimum
- 3 - 5 years in IS/IT
Preferred
- 1 - 3 years in Lean/Six Sigma experience
- 1 - 3 years in the Health Insurance Industry
- 1 - 3 years in the Healthcare industry
LICENSES OR CERTIFICATIONS
Required
- None
Preferred
- Information Technology Infrastructure Library (ITIL)
- The Open Framework Group (TOGAF)
- Six Sigma
- Project Management Professional (PMP)
SKILLS
- Analytical Skills
- Problem-Solving
- Communication Skills
- Report Writing
- SQL
- Agile Methodolgy
- Agile Project Management
Language Requirements (other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Rarely
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Rarely
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
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 position 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.
Pay Range Minimum:
$57,700.00Pay Range Maximum:
$107,800.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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 any category protected by applicable federal, state, or local law.
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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
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We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
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