[Hiring] Senior Business Systems Specialist @Medical Mutual

Role Description

This role is fully remote with a strong preference for candidates living in the US Central or Eastern Time Zone.

Works with management, external vendors, and Information Systems to define, develop, test, and implement new operations business systems (e.g., Claims, Membership, Billing, Customer Care) and processes of increased complexity and size. Serves as a project leader to identify dependencies, constraints, and resources. Communicates system changes to users and Training. Provides coordination and technical guidance to internal and external team members.

Responsibilities:

• Acts as a project leader in the development and testing of major system modifications.
• Acts as a consultant to other departments regarding the impact of system changes.
• Analyzes, evaluates and/or recommends business requirements for new or enhanced systems.
• Works with Information System Development (ISD) to ensure system integrity.
• Analyzes systems issues to determine system or procedural problems.
• Researches, recreates and monitors reported issues using procedural and technical system documentation.
• Provides technical and testing guidance to more junior staff in support of major system troubleshooting, system modifications and documentation.
• Performs other duties as assigned.

Qualifications

• Bachelor’s degree in business administration or related field or equivalent combination of education and experience.
• 5 years progressive experience as a Business Systems Specialist or equivalent experience with software quality assurance and testing processing systems in multiple operational departments.
• Project Management Certification preferred.
• Comprehensive knowledge of Project Management methodologies.
• Comprehensive knowledge of claims adjudication systems and processes and contract/regulation language.
• Strong project management skills; ability to handle multiple, concurrent projects under tight deadlines.
• Demonstrated proficiency in research techniques and system analysis.
• Advanced Microsoft Office skills.
• Advanced proficiency with Power BI, Tableau, SQL tools preferred.

Benefits

• A Great Place to Work:
• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.
• Excellent Benefits and Compensation:
• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
• An Investment in You:
• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.