Operations Business Support Analyst (Open to hiring at the Sr level) - Wellmark, Inc.

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on 85 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

Learn about our unique benefit offerings here. 

Learn about life at Wellmark here.

We are looking for one talented individual to join our Benefits Implementation team. We are open to hiring at either of the levels outlined below based on qualifications and experience.

 In this role, you will support systems/applications for multiple business areas including Benefits Implementation/Configuration, Membership and Enrollment; including applying medical coding and terminology knowledge in the application and management of Wellmark’s medical benefit code sets to assist with benefit configuration and analysis of claim and compliance inquiries. The analysis of low to moderate complexity system or process changes to provide business requirements for necessary modifications. Establish and execute test cases to identify defects and assess the quality of system solution deliveries. You'll coordinate and communicate with team members and stakeholders to improve and arrive at a positive member experience supporting Wellmark’s strategies. In addition, you will assist with coaching and mentoring of other team members.

CPC, CPC-P, COC, CCS, CCS-P, RHIT, or RHIA, or the ability to obtain a medical coding certification within 6 months of hire will be needed in order to successfully complete this work.

 **This is a non-IT role that is a part of Wellmark's Operations division. 

 Qualifications

Required Qualifications for Analyst level:

• Associate’s degree or equivalent work experience
• 2+ years of business analysis, systems, configurations, or related experience; OR 3+ years’ health insurance operations experience (e.g. claims, customer service, membership & enrollment, etc.). Includes 2 years’ proven subject matter expertise across multiple market segments, products, benefit plans, contract language, or insurance rules and regulations
• Ability to perform, document, and or guide others through a series of related steps and takes action to improve existing conditions and processes
• Ability to identify issues or inconsistencies; obtains relevant information, relates and compares data from different sources and identifies alternative solutions
• Proficient written and verbal communication skills with the ability to clearly and concisely communicate to team members and stakeholders. Ability to facilitate conversations with varying audiences
• Ability to intellectually learn and grow through the mentoring of experienced Business Support Analysts
• Proactive self-starter with effective time management skills and the ability to independently organize and prioritize projects/initiatives or tasks. Flexible and adaptable to change
• Analytical problem-solving skills and attention to detail; ability to identify and approach complex problems from different angles and apply technical knowledge to policies/procedures
• Proven efficiency in Microsoft Office Suite

Required Qualifications for Sr Analyst level: 

• Bachelor’s degree or equivalent work experience
• 3+ years of critical business technical knowledge, business analysis, systems, configurations or related experience

Preferred Qualifications for all levels:

• Experience working in or configuring FACETS
• CPC, CPC-P, COC, CCS, CCS-P, RHIT, or RHIA, or the ability to obtain a certification within 6 months of hire.
• Experience with medical coding guidelines – e.g., CPT/HCPC or ICD10.

a. Support applications/systems within multiple business areas. Analyze, define, and validate business requirements for necessary system modifications, enhancements, upgrades etc.

b. Analyze and troubleshoot system/application issues of low to moderate complexity. Seek to understand issue and impact to business. Create incident tickets and facilitate and coordinate involvement across Operations and other support teams as necessary to ensure incident is resolved end to end.

c. May lead and coordinate testing efforts, including test scenario design. Use a variety of techniques to ensure applications are being validated according to the testing plan. Write and execute test cases, documenting traceability and findings ensuring accurate and timely outcomes.

d. Keep informed, support and adhere to regulations ensuring systems and processes are compliant with corporate policies, procedures, and legal requirements.

e. Consistently communicate and collaborate with team members, technology, and other stakeholders for the purpose of aligning business requirements and solutions with customer expectations.

f. Coach, mentor and provide guidance to other Business Support team members.

g. Collaborate with Technical Writers and other stakeholders to confirm desk-level procedures and process/system documents are created/updated.

h. Ensure accurate tracking of all hours in reporting system(s) for all work efforts.

i. Other duties as assigned.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com

Please inform us if you meet the definition of a "Covered DoD official".