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Change Healthcare Quality Control Analyst II in Helena, Montana

Quality Control Analyst II

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Quality Control Analyst II Overview of Position The primary responsibility of the Quality Control Analyst II is to provide technical and administrative support for the maintenance and operation of pharmacy claims processing systems. This includes providing support such as trouble-shooting, performing quality control and quality assurance, and testing of production systems. Responsible for processing system change requests, as well as gathering and documenting new system requirements. Proactively work with managers, team leaders, data analysts, and members of the project management team to complete work and meet deadlines. Track, and report on the completion of work assignments.

What will be my duties and responsibilities in this job?

System Support

  • Serve as an expert user of the pharmacy claims processing systems

  • Troubleshoot pharmacy claims processing issues

  • Serve as an informational resource for the client by providing second tier call center support pertaining to system inquiries, and data files/extracts

Change Request Support

  • Process system Change Requests by documenting scope, functionality, and level of effort in a Service Request Initiation form

  • Create work orders for various teams using the Jira ticketing system

  • Track progress on Change Requests and completion of work

  • Adhere to all change control requirements

  • Act as a second tier for Jobtask coverage

Requirements Gathering

  • Assist in documenting business and functional requirements as a subject matter expert of the Pharmacy systems

  • Track and update requirements in the change control process and JIRA tracking system

  • Communicate business and functional requirements to developers, operations team and business users

Testing Support

  • Create use cases, test plans, test scenarios and test cases based on the defined requirements

  • Conduct user acceptance testing for system and configuration changes

Communication

  • Establish and maintain effective lines of communication with Managers, team leaders, Reporting Analysts, Account Managers, members of the Project Management Team, and the client

What are the requirements needed for this position?

  • Bachelor’s degree in Business Administration, Computer Science, or 6 years of work experience in Business Administration or Computer Science.

  • Minimum two years’ experience in business analysis

  • 2+ years’ experience in Healthcare or Software Development industry

  • 2+ years’ experience with requirement gathering, customer support,

  • 2+ years’ experience with creating professional documentation

What other skills/experience would be helpful to have?

  • Medical or Pharmacy experience a plus

  • Ability to manage multiple tasks and meet stated deadlines for those tasks

  • Strong interpersonal, verbal, and written communication skills

  • Adept at listening, confirming purpose, and tracking and managing output in a timely and accurate manner

  • Ability to work effectively with others in a time-constrained environment

  • Capacity to learn proprietary systems, tools and processes to efficiently and accurately implement contracted solutions

  • High proficiency in Microsoft Office products

  • Strong analytical and time management skills

  • Ability to manage multiple projects concurrently

  • Work well as a member of a team with positive energy

  • Ability to work with minimal supervision

  • Understanding of product and project management

  • Drive and desire to follow through on all aspects of a project

  • Understanding of how to interpret customer business needs and translate them into system and operational requirements

  • Excellent organizational skills

What are the working conditions and physical requirements of this job?

  • General office demands

  • Remote home office environment with high-speed internet

    Diversity and Inclusion:

    •At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!

    COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when j ob-related and consistent with business necessity , we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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