Business Analyst

Posting Date: Jul 5, 2024

Location: Dartmouth, Nova Scotia, CA, B3J 3C6 Nova Scotia, CA

Company: Medavie Blue Cross

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company. 
 
Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.
 
Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

 

 

Job Title: Business Analyst
Department: Government Programs: Nova Scotia Provincial Programs
Competition: 87209
Internal/External: Both
Employment Type: Full Time Permanent
Location: Nova Scotia, Remote/Office/Hybrid - Flexible 
Salary: Competitive Compensation and Benefits 
Reports To: Team Leader, Medicare Programs NSPP
Apply By:    July 21, 2024

 

 

Position Summary:
Reporting to the Team Leader, and working in a team environment, the Business Analyst is responsible for a wide variety of technical focused work activities associated with the Medicare Programs team.  A large portion of this role is focused on implementing new or revised health service codes and/or claims adjudication system rules to support the current policy requirements.  This work includes gathering business and client requirements, development of test cases and regression testing to support the various system changes.  The Business Analyst is required to maintain current knowledge with respect to policy and procedure changes.  The Business Analyst will liaise closely with Leadership, internal partners, as well as the client.

 

This role can be remote within the province of Nova Scotia, or can be based in our Dratmouth, NS office, or a hybrid of both.The work arrangements are daytime business hours, Monday - Friday.
 
Key Responsibilities:

  • User acceptance testing of various applications related to claims payment and provider/resident eligibility.  Includes development and maintenance of use cases.
  • Draft documentation to capture relevant details of new/revised health service codes and claim adjudication rules as requested by the client.
  • Implementation of fee and billing rule changes (requested both internally and externally) during bi-monthly migrations. Includes scoping of change requests, development, testing, and overnight release support. 
  • Support the development of external communications including the MSI Physician Bulletin, MSI Physicians Manual, and accreditation information.
  • Provide support for MSI claim submission vendors. Includes necessary accreditation/re-accreditation of vendor software and troubleshooting technical issues.
  • Works with the leadership team and team members to assist in successful completion of Change Requests and new business implementation with Nova Scotia Provincial Programs - DHW/WCB
  • Gather requirements and request/analyse billing reports to inform system adjudication rules aligning with the current billing guidelines
  • Manage the update and development of business area procedures
  • Work with IT and other business partners to resolve issues that arise in the daily operations and systems associated with Medicare Program
  • Complete customer facing and internal support functions as required to support the business area

 
Required Qualifications:
Education: Post-secondary diploma or degree in a health related field and or business field or equivalent work experience
Work Experience: Minimum of 3-5 years of relevant work experience
Other Qualifications: Strong oral and written communication skills required; ability to priortize workload independantly is required.
Computer Skills: MS Excel, Word and Power Point, comfortable navigating IE or Firefox, SQL would be considered an asset
Language Skills: English 

 

#CBM1 

 

We are an Equal Opportunity Employer. 

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.


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