Administrative Systems Analyst , II or III

PEHP Health & Benefits is a division of the Utah Retirement Systems that proudly serves Utah’s public employees through high quality and competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. As a government entity, we embrace both a public mission and a commitment to creating customer value, excelling in the market, and improving healthcare. We offer a competitive salary with generous benefits, personal development in a positive team environment, and excellent work-life balance.

For most jobs, remote work is available for 9 out of every 10 workdays.

This job may be filled at any of the levels listed below.

Administrative Systems Analyst I
- Min: $23.96/hr max: $29.95/hr

Administrative Systems Analyst II
- Min: $28.47/hr max: $35.58/hr.

Administrative Systems Analyst III
- Min: $70,895.18/yr. Max: $90,375.90/yr.

POSITION SUMMARY

PEHP’s Administrative Systems Team plays a mission critical role in making PEHP’s core administrative systems a competitive strength. The Administrative Systems Analyst I (Analyst) is responsible for assisting with the evaluation, testing, and implementation of required benefits and payment structure changes within the PEHP Administrative Systems. The Analyst must possess strong analytical skills, with the ability to perform complex business and product set up requirement analysis.

Successful performance in this position will require a strong understanding of the benefits systems, the ability to analyze and problem solve simple to complex projects, and the ability to work semi-independently and within deadlines.

ESSENTIAL JOB FUNCTIONS AND DUTIES

• System Configuration:
• Assists in the on-going evaluation of benefits configuration for new and existing benefit plans within Health Rules Payor, Health Rules Care Manager, and all associated interfaces and third-party systems.
• Analyzes explanation of benefits documents and master policies to ensure correct and efficient implementation.
• Assists in the setup of code sets and clinical guidelines used in benefits configuration and provider payments.
• Aids in the creation of test scripts, including regression testing cases, to validate system configuration against source documentation; tracks and tests new system functionality, enhancements, and bug fixes, including the development and execution of test plans.
• Assists with organizing the release of benefits configurations changes to production to reduce the potential for migration conflict.
• Ensures the quality and integrity of implementation of benefits change requests by assisting with production validation and audits.
• Maintains a strong understanding of the Health Rules Payor and Health Rules Care Manager systems features and capabilities, associated interfaces, and dependencies with other internal and third-party systems.
• Process Optimization:
• Collects and analyzes data to assess and resolve operational obstacles to benefits design optimization.
• Assists with root-cause analysis on benefit set up issues and proposed set up changes.
• Applies Lean principles and methodologies to process and workflow designs.
• Identifies ways to enhance operational reports related to new business implementation processes.
• Helps track incoming requests and issue resolutions through productivity monitoring tools.
• Assists with the development of configuration standards and best practice guidelines, making recommendations where appropriate.
• Documentation and Communication:
• Helps develop explanatory information for other departments to better understand administrative system configuration.
• Provides project and informational updates to management as available and/or assigned.
• Maintains regular and reliable attendance.
• Maintains strict…