Analyst

• Support critical clinical applications that directly improve patient care and nursing workflows across Banner Health's network.
• Work with systems including Cerner applications, Bridge Medical, and others.
• Collaborate with diverse teams to implement and optimize health information systems.
• Participate in on-call rotation and additional hours during implementations.
• Provide knowledge, guidance, and research to define and modify specifications and processes of complex information systems.
• Ensure timely updates and communication to the customer.
• Develop technical documents and testing scenarios, coordinate change management documentation.

IT Clinical Solution Analyst II

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.

Benefit Configuration Analyst

• Responsible for support of SAP Finance solutions to enhance the business functionality and overall performance aimed at increasing the scalability and automation of operations.
• Works as part of the IT Applications Team to determine how technology can best be used to enable or enhance business processes.
• Collaborates with business, development, and other analyst teams to maximize the value of SAP investment with offerings that address finance, supply chain and HR.
• Writes functional documentation to describe program development, logic, coding, and corrections; including end user documentation (training) to describe new or enhanced functionality.
• Provides analyzes, modifies, writes and/or executes thorough change requests test plans and checklists to ensure that business system changes are working properly, and the needs of the users are met.
• Supports a business-critical financial system, reporting and budget/forecast cycles.
• Delivers improvement of processes and functionalities utilizing latest technology.
• Partners with business process owners to provide education and insight to how technology can be used to provide process enhancements and efficiency gains.
• Reviews, analyzes, modifies, writes and/or executes thorough change request test plans and checklists to ensure that business system changes are working properly, existing processes remain unaffected and the needs of the users are met.
• Proactively researches, recommends, collaborates, presents, and assists in implementation of emerging technologies and/or vendor solutions as they relate to company’s best practices.
• Acts to resolve issues which prevent the team from working effectively.
• Provides guidance to team to create high quality functional business requirements; coordinates work effort with Development team to translate functional documents into technical requirements.

Senior SAP Functional Analyst – FICO

• Supports the client onboarding process to ensure key deliverables are met for both plan implementation and ongoing plan processing.
• Responsible for delivering exceptional customer service that exceeds customer expectations in all contact interactions.
• Assists with the plan set up process and ensures the Financial Professionals, Employers, and IRA Owners have all of the information necessary to successfully launch their plan and enroll participants into their plan.
• Assists when needed with the daily transaction processing including, initiating and or verifying distribution requests, processing payroll contributions, and following up on errors and other issues as they arise.

IRA Installation Analyst

• Assist in the maintenance of medical policy related to coding changes and analysis
• Provide ongoing technical support and configuration in the claims system
• Assist the Health Policy Research lead with Medical Policy research and development
• Coordinate and ensure completion of quality assurance and user testing of coding change configurations
• Collaborate with internal HealthRules configuration teams and share best practices for claims processing
• Identify system problems and open tickets in HE to resolve issues as needed

Medical Policy, Special Project Clinical Analyst, RN

• Responsible for the coordination, documentation, communication and analysis of provider productivity, compensation and benefits
• Performs quantitative and qualitative analysis of healthcare and financial data to support program management within the physician and advanced practice provider compensation department
• Summarize provider revenues and work relative value units (WRVUs)
• Gather data for payroll processing and benefit day tracking
• Assist in the overall preparation and design of monthly compensation process, budget, and survey and market analysis through data gathering, entry and validation
• Maintains financial records and documentation

Physician Compensation Analyst

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Analyst, Benefit Configuration

• Conduct thorough research and investigation of participant accounts to identify potential fraud or suspicious activity
• Analyze large datasets and spreadsheets, including reviewing IP addresses, transaction histories, and account behaviors, to detect patterns or irregularities
• Identify and escalate findings where information appears inconsistent, out of place, or indicative of fraudulent behavior
• Prepare and issue legal notices and correspondence to clients and participants related to fraud investigations
• Maintain strict confidentiality when handling sensitive personal and financial information
• Perform daily report reviews to monitor system-generated alerts, flagged accounts and ongoing account activity
• Ensure all investigations and documentation are completed accurately and in compliance with internal policies and regulations
• Meet strict deadlines for case resolution, reporting, and compliance requirements
• Maintain detailed, organized documentation of case findings and actions taken
• Collaborate cross-functionally with compliance, legal, service, and operations, and executive leaders as needed
• Continuously monitor trends and patterns to proactively identify emerging fraud risks
• Assist teammates with escalations, appeals, Salesforce cases and tasks as needed
• Other duties as assigned

Fraud Analyst

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Property Analyst – HOA

• Supporting data processes and applications related to Card Issuance
• Ensuring things run smoothly from preparation through delivery
• Maintaining and improving department tools and systems
• Working closely with broader technology teams when needed
• Assisting with data automation efforts
• Supporting department-specific equipment
• Contributing to light programming and problem-solving activities

Senior Technology Analyst – Card Issuance

• Analyze fraud decisioning performance across enterprise alert volumes, evaluating alert drivers, decision outcomes, false positive rates, and queue dynamics to identify performance gaps and inefficiencies.
• Assess end-to-end alert lifecycle and workflow performance, including queue throughput, capacity utilization, and case handling efficiency, to improve operational effectiveness and scalability.
• Conduct root-cause analysis on alert behavior and decision outcomes, identifying drivers of unnecessary alerts, missed detection opportunities, and workflow bottlenecks.
• Develop and maintain performance metrics and reporting frameworks that provide transparent, consistent views of alert effectiveness, benefit, decision accuracy, and operational impact.
• Identify and quantify optimization opportunities to improve fraud detection outcomes, reduce customer friction, and balance workload across fraud mitigation teams, using data-driven analysis.
• Translate complex, execution-level analytics into actionable insights and recommendations, enabling stakeholders to improve decisioning outcomes and workflow efficiency.
• Partner with Fraud Mitigation Solutions (FMS) and Fraud Strategy teams to align on performance insights, validate findings, and support continuous improvement initiatives.
• Support evaluation of fraud controls and decisioning approaches in production, providing analytical input on performance impacts without directly designing or implementing rules.
• Monitor emerging trends, anomalies, and shifts in alert behavior to identify new risks, changing fraud patterns, or degradation in performance.
• Ensure analytical rigor and data integrity, validating assumptions, methodologies, and outputs to support confident, decision-ready insights.

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