Configuration Business Analyst

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Key Responsibilities:

• Platform and Configuration Support:

  • Serve as a subject matter expert (SME) for provider data and claims platforms.

  • Troubleshoot, analyze, and resolve issues related to platform functionality, system configuration, and performance.

  • Work with technical teams to identify and implement system enhancements, fixes, and updates to improve platform performance and meet business requirements.

  • Monitor and optimize system performance, proactively addressing issues to prevent disruptions in business operations.

• Business Analysis & Requirements Gathering:

  • Work closely with business users (Claims, PDM, IT, etc.) to gather and document system requirements, and translate them into actionable, functional specifications.

  • Conduct gap analyses to identify system inefficiencies and collaborate with the team to implement solutions that improve workflows and business processes.

  • Provide subject matter expertise on system configuration, ensuring new features and changes meet business needs.

• Data Integrity & Quality Assurance:

  • Ensure data accuracy, integrity, and consistency across systems, perform regular audit and validation checks to maintain high-quality data.

  • Develop and execute test plans to ensure system changes meet business needs and functional specifications.

  • Document system configurations, updates, and changes, ensuring that all processes are clearly outlined for internal use.

• Collaboration & Training:

  • Act as a liaison between technical teams and business users to ensure system solutions align with business goals and requirements.

  • Provide technical support and training for end-users on system functionality, process changes, and best practices.

  • Foster collaboration across departments to ensure platform systems are optimized to meet business needs.

• Project Management:

  • Support the planning, coordination, and execution of system upgrades, platform changes, and new implementations.

  • Manage system-related projects from initiation through to completion, ensuring timely delivery within scope and budget.

Qualifications:

• Education:

  • Bachelor's degree in a relevant field such as Healthcare, Business, Computer Science, or Mathematics.

• Experience:

  • 5+ years of experience working with core platform systems in a health plan, TPA, or healthcare-related setting.

  • Experience with Health Rules Payer preferred.

  • Experience with Provider Data profiles and network configuration.

  • Hands-on experience with health plan building, benefits configuration, and system administration in core platform systems.

  • Familiarity with healthcare operations, including claims adjudication, enrollment, and provider management processes.

• Skills & Competencies:

  • Advanced skills in data analysis tools like Excel, PowerPoint, SQL, and other related software applications

  • Strong analytical and problem-solving skills with the ability to translate business needs into system configurations and solutions.

  • Understanding of plan building, benefits configuration, and related system settings.

  • Experience with system integrations and interfacing with third-party vendors.

  • Knowledge of healthcare regulations and standards, including HIPAA, CMS, and ACA.

  • Proficient in project management and documentation tools (e.g., JIRA, Confluence, Microsoft Project).

  • Excellent communication skills, both written and verbal, with the ability to engage with both technical and non-technical stakeholders.

  • Detail-oriented with a strong focus on system optimization, data integrity, and process improvement.

  • Ability to manage multiple priorities and deadlines in a fast-paced environment.

Preferred Qualifications:

• Familiarity with business intelligence tools (e.g., Tableau, Power BI) for reporting and analysis.

• Certification in Business Analysis (CBAP, PMI-PBA) or IT systems management is a plus.

Location:

• Role may be remote, preference for Buffalo, NY.

Values:

• Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up.

• Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.

• Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive.

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.