Systems Capacity Analyst jobs in Salt Lake City, UT

Salt Lake, UT FULL_TIME

Required Experience

Administrative Systems Analyst I Minimum Qualifications

Education and Experience

High School diploma and four (4) years of relevant managed care/health plan business analysis, or system software configuration experience, or an equivalent combination of education and experience is required. 

Bachelor's degree with a strong emphasis in information technology, information systems, business, data analytics, or some other related field is strongly preferred.

Two (2) years of PEHP experience is preferred

Experience with HealthRules Payor and HealthRules Care Manager preferred.

Administrative Systems Analyst II Minimum Qualifications

Education and Experience

High School diploma and six (6) years of relevant managed care/health plan business analysis, or system software configuration experience, or an equivalent combination of education and experience is required. 

Bachelor's degree with a strong emphasis in information technology, information systems, business, data analytics, or some other related field is strongly preferred.

Three (3) years of PEHP experience is preferred

Experience with HealthRules Payor and HealthRules Care Manager preferred.

Certified coder preferred.

Administrative Systems Analyst III Minimum Qualifications

Education and Experience

High School diploma and eight (8) years of relevant managed care/health plan business analysis, or system software configuration experience, or an equivalent combination of education and experience is required. 

Bachelor's degree with a strong emphasis in information technology, information systems, business, data analytics, or some other related field is strongly preferred.

Four (4) years of PEHP experience is preferred

Experience with HealthRules Payor and HealthRules Care Manager preferred.

Certified coder preferred.

Knowledge, Skills, and Abilities

This list contains knowledge, skills, and abilities that are typically associated with the job. It is not all-inclusive and may vary from position to position:

Required technical skills include the intermediate knowledge and ability of:

• Implementation processes within a claims operations or product management environment.
• Gathering, analyzing, and communicating complex requirements in a simple and easy to understand manner to both technical and non-technical staff.
• Familiarity with medical terminology, medical coding (CPT4, ICD10, and HCPCS), provider contract concepts, and common claims processing/resolution practices.
• Project tracking, testing, and requirement tools (Microsoft Project, SharePoint, JIRA).
• Microsoft Excel.

Required working knowledge of:

• PEHP standards and contract compliance.

Must possess excellent communication skills:

• Communicate effectively with technical and non-technical members of various departments.
• Respond professionally to common inquiries or complaints.

Must have the ability to:

• Maintain a strong attention to detail.
• Follow written and verbal instructions.
• Prioritize work, multi-task, follow through with assignments, and perform within deadlines.
• Deal effectively with stress caused by workload and time deadlines.
• Work well in a team environment as well as independently.

The incumbent must always demonstrate judgment, high integrity, and personal values consistent with the values of URS.

Work Environment

Incumbent performs in a typical office setting with appropriate climate controls. Tasks require a variety of physical activities which do not generally involve muscular strain, but do require activities related to walking, standing, stooping, sitting, reaching, talking, hearing and seeing. Common eye, hand, finger dexterity required to perform essential functions.