Product Systems Analyst Senior, Geisinger Health Plan (United States)
Location: Harrisburg, Pennsylvania
Type: Full Time
Internal Number: R-33386
Assists in the configuration and management of specified programs, products and services. Responsible for assisting in the ongoing configuration, management and oversight of consumer driven products including health reimbursement arrangements, health savings accounts and flexible spending accounts. Helps ensure continued operational functionality and accuracy of the supplemental accounts that will in turn lead to membership retention and growth. . Analyzes CSI data to identify and target high volume employer groups and providers who would benefit from use of the Service Center.
Responsible for all aspects of configuration and maintenance of consumer driven products in core claims processing system, including but not limited to design, documentation, testing and quality audit.
Provides enrollment guides for employer groups to assist in HRA education.
Oversees weekly HRA claims review and review noted issues upon customer service completion.
Determines valid issue and suggested solution to noted issue.
Reviews HRA enrollment and initial claims processing for new and renewing groups.
Ensure that enrollment is correct and claims are processing correctly.
Develops and manages a data base to track group set up and issues to ensure accuracy and resolution.
Researches other top health plans to determine best in class consumer driven products.
Assists in the improvement of the carve out counter process as it applies to qualified high deductible health plans.
Provides continued consumer education to key audiences including sales and customer service as the HSA products expand upon implementation of the exchange.
Provides Customer Service support to the sales staff and wellness team at health fairs and open enrollment meetings.
Provides technical training to Employer Groups and Providers in the use of the Service Center.
Reviews list of current participating vendors.
Confirms discount, establish relationship with the vendors and determine if additional and increased discounts can be obtained.
Researches discounts offered by competitors and top plans in the nation.
Determines which offers are attractive and try to replicate said discount.
Ensures that the Accessories program, especially new discounts are communicated to sales, members and brokers on a timely and regular basis.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
*Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years).
Facets configuration experience required
High School Diploma or Equivalent (GED)- (Required), Bachelor's Degree- (Preferred)
Minimum of 6 years-Relevant experience* (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.
The National Association of Nurse Practitioners in Women's Health's (NPWH) mission is to ensure the provision of quality primary and specialty healthcare to women of all ages by women's health and women's health focused nurse practitioners.