Providence Health & Services Systems Administration Analyst 1 in Beaverton, Oregon
Providence Health Plan is calling a Systems Administration Analyst 1 to our location in Beaverton, OR. This role will be remote however could change to a hybrid role in 2022. Qualified candidates would need to be in commute distance to the Beaverton office.
We are seeking a Systems Administration Analyst 1 to be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES). The SA Analyst needs to understand how these products integrate with other PHP systems such as Care Advance, TCS, UPP, PIMS etc.
This position requires a broad understanding of health plan wide processes, including claims processing, medical/payment policies, product implementations, provider network development and contract management. The ability to collaborate and communicate with our business partners is critical as we strive for alignment on intent, automation solutions and data accuracy. Analysis and continuous optimization of system functionality with focus on root cause analysis to ensure we are implementing long term data fixes is also key. Work responsibilities range from high level functional analysis, detailed technical system configuration and support of business and management decisions.
Analysts typically support one of 3 disciplines: Benefit, Provider or Pricing.
In this position you will have the following responsibilities:
Maintain an in-depth working knowledge of FACETS and integrated applications: understand the relationship between and implications of changes across applications as well as impacts to downstream reporting and vendors.
Perform system configuration analysis, design, coding and unit testing for simple to medium complex customer specific solutions within Facets and integrated with Facets such as CES, Networx (and other Pricing software), UPP, PIMS. Evaluates proposed policy changes and impacts. Ensures correct administration and adherence to policies, procedures and regulatory guidelines.
Perform feasibility review within the assigned discipline, key participant in product portfolio development, implementation of mandates, network development, software upgrades and operational workflow discussions.
Optimizing and/or implementing new operational processes for continued efficiency.
Trouble shooting problems and utilize appropriate resources for research and correction.
Follow guidelines for documentation and resolution of issues within our internal change management system to support SLAs. Departmental reporting to assist with workload and SLAs.
Perform audits as needed to ensure effective administration of health plan contracts and processes. Participate in audits as directed.
Assist in developing and writing technical procedural documentation within the scope of knowledge.
Maintaining project plans as related to implementation tasks.
Required qualifications for this position include:
3 years medical claims or relevant health insurance operations experience
In depth understanding of managed care transaction systems
Preferred qualifications for this position include:
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Analytics/Business Intelligence
Other Location(s): Oregon
Req ID: 328809