Core Platform Systems Analyst
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Buffalo. Centivo. Core Platform System Analyst. $90,000 - $110,000/year.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 integrity, and efficient process workflows.Key ResponsibilitiesCore 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 related 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

• Lead 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 related to health plan operations.
• Assist with the development and maintenance of benefit plans and ensure they are properly integrated into the platform.

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.

Data Integrity & Quality Assurance

• Ensure data accuracy, integrity, and consistency across systems, performing regular audits and validation checks to maintain high-quality data.
• Develop and execute test plans to ensure system changes meet business needs and functional specifications.
• Document system configurations, updates, and changes, ensuring that all processes are clearly outlined for internal use.

Collaboration & Training

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

Regulatory Compliance & Reporting

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

Project Management

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

QualificationsEducation:

• Bachelor's degree in Information Technology, Computer Science, Health Information Management, or a related 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 healthcare-related 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 healthcare operations, including claims adjudication, enrollment, and provider management processes.

Location: Role may be remote, preference for Buffalo, NY.Follow link to apply through company website: ntavo/

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionInformation Technology
• IndustriesInsurance

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