Ascension_Personalized_Care_ACA_Health_Plans_Careers

Careers

Grow your career with Ascension Personalized Care. Learn about career opportunities and open positions.
  • Case management

    No positions are currently available. Check back soon!

  • Claims

    Claims Research Analyst

    Austin, TX (Partially Remote), Full Time, Day, Job ID: 294884

    Details

    • Department:Patient Accounting
    • Schedule:Full-Time, 8-hour day shift, Monday - Friday, Partially Remote
    • Facility: Ascension Care Management Insurance
    • Location:Austin, Texas

     

    Benefits

    Paid time off (PTO)
    Various health insurance options & wellness plans
    Retirement benefits including employer match plans
    Long-term & short-term disability
    Employee assistance programs (EAP)
    Parental leave & adoption assistance
    Tuition reimbursement
    Ways to give back to your community

     

    Responsibilities

    As a Claims Research Analyst, you'll analyze claims information for risk management and insurance programs.

    • Investigate claims and obtain relevant facts to determine coverage, loss and liability.
    • Oversee legal and medical aspects of claim including oversight of law firms involved in the litigation of the claim.
    • Resolve claim issues promptly and manage claim settlements within authority limits.
    • Provide recommendation of claim and expense reserves.
    • Strong knowledge of Texas Medicaid pricing.

     

    Requirements

    Education:

    • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

     

    Additional Preferences

    Additional preferences:

    • 1 to 2 years of appeals experience, preferred.
    • 1 to 2 years of Texas health plan operations experience, preferred.
    • 1 to 2 years of strong claims auditing and investigation experience, preferred.
    • 1 to 2 years of strong claims research experience, involving collecting relevant inforamation to design meaningful data to create a set conclusion to have claims reprocessed, preferred. 

    Apply at: https://jobs.ascension.org/us/en/job/1087419/Claims-Research-Analyst

    • Configuration

      Facets Networx Configuration Lead

      Troy, MI (Partially Remote), Full Time, Day, Job ID: 282900

      Details

      • Department: Acension Care Solutions Development
      • Schedule:Full-Time, 8-hour day shift, Monday - Friday - Partially Remote
      • Facility: Automated Benefit Services (ABS)
      • Location: Troy, Michigan

       

      Benefits

      Paid time off (PTO)
      Various health insurance options & wellness plans
      Retirement benefits including employer match plans
      Long-term & short-term disability
      Employee assistance programs (EAP)
      Parental leave & adoption assistance
      Tuition reimbursement
      Ways to give back to your community

       

      Responsibilities

      As a Facets Networx Configuration Lead, you'll work with assigned customers/areas to translate business requirements into application/system solutions.

      • Serve customers as a key point of contact.
      • Manage customer expectations and ensure prompt and complete customer service.
      • Form productive networks with internal and external customers and the vendor community.
      • Produce project plans, RFP's, and RFI's.
      • Customize presentations to the interests of the audience.
      • Conduct diagnosis of most business problems.
      • Design, direct and perform analyses to resolve complex first-time project issues including analysis of technical and economic feasibility of proposed system solutions.
      • Design projects with broad implications requiring systems integration of one or more technical platforms.
      • Lead design sessions by presenting logical statements of business problems and designs.
      • Participate in the design of technical requirements for the application/solution.
      • Serve as a staff resource and mentor regarding understanding of architectural systems.

       

      Requirements

      Education:

      • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

       

      Additional Preferences

      Additional Preferences:

      • 2 years of Facets Networx intergration experience, preferred.
      • 2 years of Facets application in Networx experience, preferred.
      • 2 years of Health Plan experience, preferred.
      • 2 years of SQL and Query Data experience, preferred. 
      • 2 years of Claims Test Pro experience, preferred.

      Apply at: https://jobs.ascension.org/us/en/job/1066368/Facets-Networx-Configuration-Lead

    • Customer service
      No positions are currently available. Check back soon!
    • Enrollment

      No positions are currently available. Check back soon!

    • Information systems

      Business Analyst Government Programs

      Remote, Full Time, Day, Job ID: 290567

      Details

      • Department:Acension Care Operations
      • Schedule:Full-Time, 8-hour day shift, Monday - Friday, Fully Remote
      • Facility: Automated Benefit Services (ABS)

       

      Benefits

      Paid time off (PTO)
      Various health insurance options & wellness plans
      Retirement benefits including employer match plans
      Long-term & short-term disability
      Employee assistance programs (EAP)
      Parental leave & adoption assistance
      Tuition reimbursement
      Ways to give back to your community

       

      Responsibilities

      As a Business Analyst Government Program, you will evaluate, implement and maintain assigned business systems and applications.

      • Develop program goals and infrastructure to align with defined business strategy.
      • Manage program through creating program plans, management tools and reporting capabilities.
      • Lead cross-functional teams and ensure resources are assigned to meet program goals.
      • Recommend program budget and monitor and adjust plan as resource requirements change.
      • Communicate and document program quality outcomes and progress metrics.
      • Address and resolve project issues to ensure goals remain on track.
      • Assist in evaluating proposals for data collection through an understanding of the functional area's business and applications needs.
      • Assist in planning and implementing activities required for the collection and analysis of data related to departmental business needs, including the development of data collection systems.
      • Maintain specific departmental data collection systems (eg , databases and spreadsheets) by troubleshooting problems, providing user support and education and promoting integration with other systems.
      • Develop and run basic queries and other data collection spreadsheets to support assigned business areas and organize them in a format for ease of review and use.
      • Distill business processes to key functions and create and document processes to identify opportunities to automate and/or improve an existing process.
      • Assist in conducting complicated and detailed analyses of data relative to the applicable business function.
      • Knowledge of Facets
      • Knowledge of Claims Systems.
      • Knowledge of Healthplan and ACA Marketplace Insurance.

       

      Requirements

      Education:

      • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

       

      Additional Preferences

      • 1-2 years of working knowledge of government related Medicaid, ACA insurance plans rules, regulations and requirement levels experience, preferred.
      • FACETS experience, plus.

      Apply here: https://jobs.ascension.org/us/en/job/1081505/Business-Analyst-Government-Programs

    • Project management

         No positions are currently available. Check back soon!