“Making Healthcare Right. Together.” is the cornerstone of all we do. Our vision is through powerful relationships with Care Partners, we help all people live healthy and brighter lives. To successfully achieve our mission and vision as we operate in a dynamic health care environment, we expect Bright employees to embody and uphold our core values in work and interactions, both internal and external: be brave, be brilliant, be accountable, be inclusive, and be collaborative.

A Senior Integration Analyst for Bright Health is tasked with supporting the operational processes and data integrations of our external TPA vendors and internal data integration teams. This role will work with various Business Partners that enhance the company’s growth while supporting the business partner’s ability to serve Bright’s members and providers. The analyst typically supports Bright’s operations by supporting the application platforms and data exchanges between the Business Partners as well as data exchanges between Bright and our business partners. You will be expected to work with all levels of the organization across divers areas and multiple stakeholder to manage issues, manage tactical relationships as well as implement solutions and improvements.

ROLE RESPONSIBILITIES

• Support Bright Health IT systems (in-house and outsourced) which support health plan back office functions.
• Partner with MA and Commercial operations teams to develop business requirements including mapping of data elements to file layouts and logic rules of data exchanges and vendor data processing jobs.
• Assist team in designing and documenting repeatable operational processes that ensure quality delivery of services to providers and members.
• Resolve, troubleshoot and document system and data processing issues. Investigate data inconsistencies and errors.
• Manage sftp and file naming changes.
• Develop and maintain strong working relationships with business and technical teams, both internal and external.
• Recommends the nature and scope of present and future technology solutions by reviewing product specifications and requirements; appraising new product ideas and/or product changes.
• Identify and provide recommendations for process improvement opportunities. Evaluates and improve data quality at Bright including but not limited to provider, claim and enrollment data.
• Manage SLAs between Bright and Business Partners.
• Create operational metrics and BI dashboard reporting
• Solution design and oversight of health plan functions to improve efficiency, increase quality and decrease costs.
• Assist in developing the yearly Road Map for the IT team.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Six or more years’ experience in Healthcare Operations and Technology (Required)
• Three or more years’ experience in Healthcare and Healthcare data (Required)
• Two years or more Claims and/or Eligibility business or technical operations (Required)
• Three or more years’ experience with developing and documentation of operational processes and/or data controls (Required)
• Two or more years of SQL code development (Required)
• One or more years’ experience in project management or business analysis disciplines (Preferred)
• Working knowledge of software development tools and methodologies (Preferred)
• Experience with Microsoft Azure, including BI, LogicApps, and Data Factory (Preferred)
• Experience with x12 EDI transactions (Preferred)

 We’re Making Healthcare Right. Together. 

We've won some fun awards like Modern Healthcare and Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our team!

Check out this great video showcasing just some of the fantastic Technology Team broadcasting from our ATX office!

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!