Core Platform System Analyst

Position Overview

• Location Type: Remote
• Job Type: Full-Time
• Salary: $90K - $110K

Centivo's mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. We are hiring for a Core Platform System Analyst, emphasizing technical execution and support. This role is critical to ensuring the stability, performance, and alignment of our core platform systems with organizational goals. The ideal candidate will have a deep understanding of plan building, benefits design, and systems configuration, alongside core platform expertise. You will collaborate with cross-functional teams, including IT, Operations, Claims, and Compliance, to ensure system stability, data integrity, and efficient process workflows.

Requirements

• Deep understanding of plan building, benefits design, and systems configuration.
• Core platform expertise.
• Experience collaborating with cross-functional teams (IT, Operations, Claims, Compliance).
• Strong analytical and problem-solving skills.
• Ability to translate business requirements into actionable specifications.

Responsibilities

• Core Platform Support & Optimization:
  • Serve as a subject matter expert (SME) for core platform systems, including claims processing, member management, provider networks, and benefits configuration.
  • Troubleshoot, analyze, and resolve issues related to platform functionality, system configuration, and performance.
  • Work with technical teams to identify and implement system enhancements, fixes, and updates to improve platform performance and meet business requirements.
  • Monitor and optimize system performance, proactively addressing issues to prevent disruptions in business operations.
• Plan Building & Benefits Configuration:
  • Lead and support the design and configuration of health plans, benefits structures, and benefit rule sets in the core platform system.
  • Collaborate with business stakeholders to ensure health plan design and benefits configurations align with customer requirements and regulatory guidelines.
  • Configure and maintain benefits, networks, claims rules, and other key system elements related to health plan operations.
  • Assist with the development and maintenance of benefit plans and ensure they are properly integrated into the platform, ensuring accurate benefits administration.
• Business Analysis & Requirements Gathering:
  • Work closely with business users (Claims, Enrollment, IT, etc.) to gather and document system requirements, and translate them into actionable, functional specifications.
  • Conduct gap analyses to identify system inefficiencies and collaborate with the team to implement solutions that improve workflows and business processes.
  • Provide subject matter expertise on system configuration, ensuring new features and changes meet business needs.
• Data Integrity & Quality Assurance:
  • Ensure data accuracy, integrity, and consistency across systems, performing regular audits and validation checks to maintain high-quality data.
  • Develop and execute test plans to ensure system changes meet business needs and functional specifications.
  • Document system configurations, updates, and changes, ensuring that all processes are clearly outlined for internal use.

Application Instructions

• [Application instructions would be included here if available]

Company Information

• Centivo is dedicated to bringing affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.