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Business Analyst II, MI - Remote

extra holidays - fully flexible

Remote:

Full Remote

Experience:

Senior (5-10 years)

Work from:

Michigan (USA), United States

Offer summary

Qualifications:

Bachelor’s Degree in business or related field, Two years in an analytic role using data, Five years in computer applications preferred, Knowledge of HMO and Managed Care functions.

Key responsabilities:

Prepare functional specifications for systems
Develop and maintain various reports

McLaren Health Care XLarge https://www.mclaren.org/

10001 Employees

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Job description

We are looking for a Business Analyst II to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Overview: At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems, including benefits and pricing requirements for claims processing systems.Develops and maintains financial, management, standard production, customer, regulatory and ad hoc reports.Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans.Defines test conditions, creates test plans, and conducts tests to ensure business and reporting requirements are met.Responsible for change management of above systems and reports and coordinates all routine maintenance and upgrades.Monitors performance of such systems and reports and informs leadership of deficiencies and/or makes recommendations for increased functionality.

This position is fully remote.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Qualifications:

Required:

Bachelor’s Degree in business, computer science, health care or related field; or Associate degree/IT certification and two (2) years related experience; or High School diploma and four (4) years’ related experience.
Two (2) years’ experience in analytic role utilizing systems and data.

Preferred:

Five (5) years’ experience in computer applications and/or database administration.
Three (3) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).
Ability to apply accounting, mathematical and statistical principles to assigned tasks.
Demonstrated ability to create, modify and design SQL databases.

Additional Information