As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology.
Job Description
The Business Systems Analysis Professional 2 formulates and defines systems and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
This role will support the implementation and migration of Rework processes to the DomaniRx platform, which is the new pharmacy claims processing platform for SS&C Health. A successful candidate will have a strong understanding of pharmacy claims and SS&C claims processing, as well as experience with defect tracking and resolution. This role will work closely with various business partners to collaborate on best solutions for Rework and its business partners as it expands to DomaniRx and will be responsible for validating test cases and ensuring a smooth transition to the new platform. Assist in management of current customer processes, as well as develop future enhancements for a global customer Rework solution within DomaniRx. Responsibilities can also include working with other DomaniRX workstreams including Pre-Adjudication to ensure a successful implementation.
Key Responsibilities:
Collaborate with business partners to implement and migrate to the DomaniRx platform
Utilize knowledge of pharmacy claims and claims processing at SS&C to identify and resolve defects and issues
Track and resolve defects using defect tracking tools and methodologies
Develop and validate test cases to ensure successful migration to DomaniRx
Work with business partners to design and implement Rework solutions on the DomaniRx platform
Attend project calls and meetings to represent Rework and provide input on implementation and migration plans
Utilize basic understanding of SQL or comparable tool, and data management to validate test cases and ensure data integrity
Provide support and guidance to team members on processes and procedures on the DomaniRx platform
Identify and implement process improvements to increase Rework efficiency and productivity
Requirements:
2+ years of experience in pharmacy claims and claims processing at SS&C
Strong understanding of Rework Operations and its role in the claims processing cycle
Experience with defect tracking and resolution using tools such as Jira and QTest
Basic understanding of SQL or comparable tool, and data management principles
Excellent communication and collaboration skills, with ability to work effectively with business partners and team members
Strong analytical and problem-solving skills, with ability to identify and resolve complex issues
Ability to work in a fast-paced environment and adapt to changing priorities and deadlines
Preferred Qualifications:
Experience with the DomaniRx platform or similar pharmacy claims processing systems
Advanced understanding of SQL or comparable tool, and data management principles
Experience with data analysis and reporting tools such as Microsoft PowerBI
Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.
SS&C offers excellent benefits including health, dental, 401k plan, tuition and professional development reimbursement plan.SS&C Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
Salary is determined by various factors including, but not limited to, relevant work experience, job related knowledge, skills, abilities, business needs, and geographic regions.Jersey City, NJ: Salary range for the position: 60,000 USD to 75,500 USD. NY: Salary range for the position: 60,000 USD to 75,500 USD. Colorado: Salary range for the position: 60,000 USD to 75,500 USD.Originally posted on Himalayas