About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Business Analyst II
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Business Analyst II, to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Position Overview: At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems, including benefits and pricing requirements for claims processing systems. Develops and maintains financial, management, standard production, customer, regulatory and ad hoc reports. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test conditions, creates test plans, and conducts tests to ensure business and reporting requirements are met. Responsible for change management of above systems and reports and coordinates all routine maintenance and upgrades. Monitors performance of such systems and reports and informs leadership of deficiencies and/or makes recommendations for increased functionality.
Qualifications:
Required:
Bachelor’s degree in business, computer science, health care or related field; or Associate degree/IT certification and two (2) years related experience; or High School diploma and four (4) years’ related experience.
Two (2) years’ experience in analytic role utilizing systems and data.
Preferred:
Five (5) years’ experience in computer applications and/or database administration.
Three (3) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).
Ability to apply accounting, mathematical and statistical principles to assigned tasks.
Demonstrated ability to create, modify and design SQL databases.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
