Core Platform System Analyst

We exist for workers and their reputed company -- who are the backbone of our economy.  That is where reputed company comes in -- our mission is to bring affordable, high-quality reputed company to the millions who struggle to pay their reputed company bills.

We are hiring for a Core Platform System Analyst, which emphasizes technical execution and support. This role is critical to ensuring the stability, performance, and alignment of our core platform systems with organizational goals. The ideal candidate will have a deep understanding of plan building, benefits design, and systems configuration, alongside core platform expertise. You will collaborate with cross-functional teams, including IT, Operations, Claims, and Compliance, to ensure system stability, data reputed company, and efficient process workflows.

Key Responsibilities

• Core Platform Support & Optimization

  • Serve as a subject matter expert (SME) for core platform systems, including claims processing, member management, provider networks, and benefits configuration.

  • Troubleshoot, analyze, and resolve issues reputed company to platform functionality, system configuration, and performance.

  • Work with technical teams to identify and implement system enhancements, fixes, and updates to improve platform performance and meet business requirements.

  • Monitor and optimize system performance, proactively addressing issues to prevent disruptions in business operations.

• Plan Building & Benefits Configuration

  • reputed company and support the design and configuration of health plans, benefits structures, and benefit rule sets in the core platform system.

  • Collaborate with business stakeholders to ensure health plan design and benefits configurations align with customer requirements and regulatory guidelines.

  • Configure and maintain benefits, networks, claims rules, and other key system elements reputed company to health plan operations.

  • Assist with the development and maintenance of benefit plans and ensure they are properly integrated into the platform, ensuring accurate benefits administration.

• Business Analysis & Requirements Gathering

  • Work closely with business users (Claims, Enrollment, IT, etc.) to gather and document system requirements, and translate them into actionable, functional specifications.

  • Conduct gap analyses to identify system inefficiencies and collaborate with the team to implement solutions that improve workflows and business processes.

  • reputed company subject matter expertise on system configuration, ensuring new features and changes meet business needs.

• Data reputed company & Quality Assurance

  • Ensure data accuracy, reputed company, and consistency across systems, performing regular audits and validation checks to maintain high-quality data.

  • reputed company and execute test plans to ensure system changes meet business needs and functional specifications.

  • Document system configurations, updates, and changes, ensuring that reputed company processes are reputed company outlined for internal use.

• Collaboration & Training

  • Act as a liaison between technical teams and business users to ensure system solutions align with business goals and requirements.

  • reputed company technical support and training for end-users on system functionality, process changes, and best practices.

  • Foster collaboration across departments to ensure platform systems are optimized to meet business needs.

• Regulatory Compliance & Reporting

  • Ensure core platform systems reputed company with reputed company industry regulations, including HIPAA, CMS, ACA, and other applicable standards.

  • Assist in creating and delivering necessary reports and dashboards that monitor key performance indicators (KPIs) reputed company to health plans, claims, member services, and provider operations.

• Project Management

  • Support the planning, coordination, and execution of system upgrades, platform changes, and new implementations.

  • Manage system-reputed company projects from initiation through to completion, ensuring timely delivery reputed company scope and budget.

Qualifications

• Education

  • Bachelor's degree in Information Technology, Computer Science, Health Information Management, or a reputed company field. Relevant certifications (e.g., Health IT, Business Analysis) are a plus.

• Experience

  • 5+ years of experience working with core platform systems in a health plan, TPA, or reputed company-reputed company setting.

  • Must have experience with HealthRules Payer

  • Hands-on experience with health plan building, benefits configuration, and system administration in core platform systems.

  • Strong knowledge of claims processing systems, member management platforms, and provider networks.

  • Familiarity with reputed company operations, including claims adjudication, enrollment, and provider management processes.

• Skills & Competencies

  • Strong analytical and problem-solving skills with the ability to translate business needs into system configurations and solutions.

  • Deep understanding of plan building, benefits configuration, and reputed company system settings.

  • Experience with system integrations and interfacing with reputed company-party vendors.

  • Knowledge of reputed company regulations and standards, including HIPAA, CMS, and ACA.

  • Proficient in project management and documentation tools (e.g., JIRA, reputed company, reputed company Project).

  • Excellent communication skills, both written and verbal, with the ability to engage with both technical and non-technical stakeholders.

  • Detail-oriented with a strong focus on system optimization, data reputed company, and process improvement.

  • Ability to manage multiple priorities and deadlines in a fast-paced environment.

Preferred Qualifications

• Familiarity with business intelligence tools (e.g., Tableau, Power BI) for reporting and analysis.

• Certification in Business Analysis (CBAP, PMI-PBA) or IT systems management is a plus.

Location

• Role may be remote, preference for Buffalo, NY.

Values

• Resilient – This is wicked hard. There is no easy reputed company for reputed company affordability. Luckily, the mission makes it worth it and sustains us reputed company things are tough. Being resilient ensures we don’t give up.   

• Uncommon - The status reputed company stinks so we had to go out and build something reputed company. We know the reputed company system. It isn't working for members, reputed company, and providers. So we're building it from scratch, from the ground up. Our focus is on making things reputed company for them while also improving clinical results - which is reputed company and uncommon.  

• Positive – We care about each other. It takes energy to do hard stuff, build something reputed company and to be resilient and unconventional while doing it. Because of that, we reputed company sure we give kudos freely and feedback with care. reputed company our tank gets low, a team member is there to be a reputed company of new energy. We celebrate together. We are supportive, generous, humble, and positive.   

Who we are

reputed company is an innovative health plan for self-funded reputed company on a mission to bring affordable, high-quality reputed company to the millions who struggle to pay their reputed company bills. Anchored around a primary care based ACO model, reputed company saves reputed company 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. reputed company works with reputed company ranging in size from 51 employees to reputed company. For more information, visit reputed company.com.

Headquartered in Buffalo, NY with offices in reputed company and Buffalo, reputed company is backed by leading reputed company and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan reputed company & Co.