Systems Software Programmer

Duties:
The Business Systems Analyst, Enrollment & Member/Provider Services, is a cross functional role supporting both the Enrollment and Member/Provider Services (MPS) areas through the implementation of HealthRules Payer (HRP) and GuidingCare, as well as during post'go'live stabilization. This role provides critical operational support, ensures alignment between the two workstreams, and helps maintain data accuracy, workflow readiness, and system functionality.
The Analyst serves as a connector between business operations, IT, and external vendors, ensuring that system changes are implemented correctly and that both Enrollment and MPS are prepared for and supported through the transition to new platforms.

Key Responsibilities:
Implementation Period
Testing support, including UAT execution, regression testing, and validation of system behavior
Data migration checking for enrollment, demographic, provider, and related datasets
Reviewing configuration for accuracy and completeness across both systems
Tracking issues, triaging defects, and following up to ensure timely resolution
Developing and updating process documentation and standard operating procedures
Supporting operational readiness and stabilization planning ahead of go'live

Coordinating Between Enrollment & Member/Provider Services:
Mapping and managing integration points between the two workstreams
Ensuring HRP and GuidingCare requirements are aligned across both functional areas
Coordinating workflow changes that impact multiple teams
Identifying and preventing duplication, misalignment, or conflicting decisions between departments

Post Implementation Responsibilities:
Providing ongoing system maintenance and configuration support
Serving as first'line support for operational issues related to HRP and GuidingCare
Overseeing data quality checks and reconciliation activities
Refining workflows and supporting continuous process optimization
Acting as liaison between Operations, IT, and vendors on system enhancements, issues, and releases
Helping maintain a positive member and provider experience by ensuring operational continuity and system accuracy
Preserving and documenting institutional knowledge gathered throughout implementation and stabilization

Skills:
Enrollment experience, large system migration, and other system implementation experience

Education:
Bachelors degree in Business Administration, Health Care Administration, Information Systems, Public Health, or a related field

OR

Equivalent combination of education and relevant work experience in health plan operations, systems support, or business analysis

Languages:
English

Schedule Notes:
Hybrid - 2 days in office
Candidates must have enrollment experience, large system migration, and other system implementation experience