Impress employers and recruiters.
Choose from hundreds of resume examples.

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

We are looking for a motivated and energetic Programmer Analyst with a basic understanding of the software development lifecycle, working knowledge of SQL and database concepts, and familiarity with AI technologies, including the use of agents for code prototyping and development. The successful candidate will join our application support team supporting critical healthcare claims processing applications.

Responsibilities

• Gather and analyze requirements to build solution designs
• Handle data transformation activities
• Analyze business requirements and translate them into technical specifications
• Program new provider physician rate builds and hospital contracts, and manage ongoing rate changes
• Program new benefit configuration and manage ongoing benefit changes
• Troubleshoot, debug, and resolve application issues in a timely manner
• Interact with system vendors to enhance applications with new features and functionality
• Collaborate with IT and non-IT personnel to complete required tasks
• Participate in application upgrades, releases, and deployment activities
• Collaborate effectively with offshore development and support teams to deliver projects, coordinate development activities, review deliverables, resolve issues, and ensure adherence to project timelines and quality standards

Requirements

• Preferred 1-3 years of experience in application development, programming, or systems analysis
• Strong understanding of software development lifecycle (SDLC) methodologies
• Familiar with use of AI for code generation; Agent’s usage preferred
• Experience with SQL queries that includes ability to extract data, triage, update, and insert functions
• Preferred prior experience in Healthcare TPA or insurer environment working with claims adjudication and ancillary applications
• Preferred familiarity with Healthcare EDI transactions including 800 and 200 series
• Self-motivated and capable of independently learning new technologies, business processes, and technical skills with minimal supervision
• Ability to understand complex HealthCare payment rules and design, build, and implement systems accordingly
• Communicate effectively with internal and external stakeholders
• Strong attention to detail and perform consistent work product validation/QA
• Strong analytical skills

Skills

• SQL
• Database concepts
• AI technologies
• Agents for code prototyping and development
• Healthcare claims processing
• Software development lifecycle (SDLC)
• SQL queries
• Healthcare TPA or insurer environment
• Claims adjudication
• Ancillary applications
• Healthcare EDI transactions
• MS Office suite
• Excel
• MS Access
• MS SQL Server Managed Studio

Experience Level

• 1-3 years

Education Level

• Undergraduate degree in IT, Healthcare IT, or progressive experience

Salary/Compensations

• $40,560 - $47,840

About the Company

• At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered.
• When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level.
• Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.
• Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services.
• Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform.
• As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives.
• Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.
• Come be a part of the Brightest Ideas in Healthcare™.
• Company Mission: Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.
• Company Vision: Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.