Documentation Analyst

Job ID: J138154
Company: Gateway Health Plan
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jan 4, 2019

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Description

JOB SUMMARY

This job is responsible for developing and maintaining the model documents that are the basis for producing group benefit booklets and contracts to ensure favorable group relations and to conform to the Plan’s legal requirements. Author (write code and map to appropriate information source or database) for both new and changing products, benefit information, processes, administration of provisions, system updates, software releases, web site updates, and any additional systems or processes that impact the area.

ESSENTIAL RESPONSIBILITIES

  • Develop, set-up, and provide maintenance, language review, write specifications, develop business rules, identify variables, map to database sources, code, write SQL statements for the Automated Publishing System.
  • Ensure group benefit booklets, contract documents, Summary of Benefits and Coverage, renewal and various letters are favorable to group relations and compliant with all corporate legal requirements.
  • Problem identification, research and solution implementation related to group benefit data.  Perform analysis, design, programming, testing and implementation of software upgrades.
  • Author new as well as modify existing documentation to reflect the changes from the projects, revised business practices, benefit design, corporate initiatives, mandates, regulatory findings, health care reform, etc.  Design a testing plan and perform extensive testing to ensure accurate implementation.
  • Perform language content review and design, formatting and brand compliance for the numerous model documents maintained in the document management system.
  • Other duties as assigned or requested.

Minimum Qualifications:

  • High School / GED
  • 3 years relevant, progressive experience in the analysis of business processes to include one or more of the following: Knowledge of process functionality or understanding of products, benefits, and benefit databases.

Preferred Qualifications:

  • Business Administration, Computer Science or Computer Programming OR Two (2) years experience in electronic publishing, database technologies or programming

SKILLS

  • Intermediate to advanced level of knowledge regarding all Highmark products, benefits, health programs and systems is essential.
  • Strong organizational, analytical and interpersonal skills essential.
  • Intermediate knowledge of rating methodologies and rating procedures.
  • Ability to present to groups, develop training documentation, create process/technical documentation.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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