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Wellmark - Des Moines Health Services System Configuration Specialist in Des Moines, Iowa

Help us lead change and transform the member experience

The health care industry is changing, and Wellmark is working to help change it for the better. We recognize that our members deserve health care with a focus on quality. We also recognize that health care is complex. We’re embarking on a journey to help our members navigate and use the system in order to help them make clear, informed decisions, and we’re also ensuring that we take a team-centric approach when working with and in support of our members. The work that our diverse business and care teams are doing in collaboration with our health care partners will create these changes, all while working to minimize health care costs.

Use your strengths as Health Services System Configuration Specialist

In this role, you’ll serve as the administrator for system(s) specific to Health Services (e.g., Jiva) and will provide subject matter expertise regarding system functionality and configuration while supporting Health Services’ operational systems. You’ll configure business rules/requirements, including ID/Strat rule sets, business rules, letters, and maintenance of all corresponding documentation. This includes the identification and implementation of enhancements, upgrades and maintenance changes to systems to continuously improve and optimize workflow processes and capabilities. You’ll also support business level testing associated with major upgrades/enhancements, projects, and system conversions.

Ideal candidates enjoy drawing upon their deep knowledge of how systems operate in order to keep them running smoothly, but they are also driven by continuous improvement – they love identifying and implementing improvements in order to optimize systems and processes. Ideal candidates are at their best when they think up/down stream, use data to inform decisions, creatively problem solve, and see well-orchestrated and thoroughly tested plans come to life.

**This is a non-IT role that is a part of Wellmark’s Health Services department.

Minimum Qualifications:

  • Bachelor’s degree or direct and applicable work experience.

  • 4+ years of system testing, configuration, troubleshooting, or related experience in a fast-paced environment, including:

  • Acting as a subject matter business/technology resource on one or more applications.

  • Analyzing data and utilizing reporting tools such as SAS, SQL, business objects, etc. Ability to query data and understand databases.

  • Engaging 3rd party vendors in troubleshooting.

  • Strong technical acumen with the ability to learn new systems quickly. Advanced proficiency in Microsoft Excel.

  • Effective analytical, research and critical thinking skills. Creative approach to problem solving and troubleshooting issues.

  • Strong written and verbal communication skills. Effectively shares complex information to diverse audiences, including technical and non-technical stakeholders and external vendors.

  • Experience managing and optimizing workflows and operating systems.

  • Strong consulting skills demonstrated by the ability to understand needs/requirements, make business process/workflow recommendations, and influence stakeholder decisions.

  • Ability to collaborate across the organization and with key decision makers.

  • Attentive to details. Demonstrated commitment to accuracy and quality.

  • Proactive self-starter with effective time management skills and the ability to independently organize and prioritize projects or tasks.

  • Flexible and adaptable to change.

Preferred Qualifications:

  • Bachelor’s degree.

  • SAS or SQL experience is a plus.

  • HTML knowledge is a plus.

  • Exposure to health services systems (e.g., Jiva), including system configuration.

a. Serve as the system administrator for systems specific to Health Services. Includes all aspects of configuration of ID/Strat, business reference tables and rules, correspondence engine, and all decision tables supporting the business rules and requirements. Provide data validation of configuration output. Build configurations upon the approval of Health Services leadership.

b. Build and maintain configurations of Health Services system functionality. Apply knowledge and experience of Health Services programs through design, development, and maintenance of the systems. Perform administrator updates to the system and provider portal online tool as necessary.

c. Create and/or edit monitoring and reporting needs of configuration and business rules utilizing data warehouse business objects, SAS and/or SQL databases. This includes development and run of configuration rules as part of control and monitoring.

d. Serve as a business contact with the systems vendor for technical questions. Keep up-to-date and informed regarding system and vendor changes and enhancements, updating the system library of release notes for business as usual project activity.

e. Develop and maintain documentation of the Health Services systems, including, but not limited to context diagrams, configuration rules / sets, business rules, and all integrations.

f. Prepare effort assessment including time, complexity and upstream/downstream impacts related to configuration requests. Provide configuration recommendations to leadership for approval. Maintain a professional demeanor and seek to create understanding when delivering decisions and information that is not in agreement with the requesting party.

g. Perform testing associated with system configuration and business rules. Develop and maintain library of vendors release notes along with assessment including value, complexity and upstream/downstream impacts for business as usual upgrades.

h. Comply with regulatory standards, accreditation standards and internal guidelines remain current and consistent with the standards pertinent to Health Services.

i. Other duties as assigned.

Requisition ID: 214165


External Company Name: Wellmark, Inc.

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