Health Care Services Technical Rules Analyst

Richmond, BC, Canada

Job Description


Overview

Our Health Care Operations department is looking for a Technical Rules Analyst to coordinate the development and implementation of business rules that drive our automated claims adjudication engine that ensures correct health care payments for services to injured workers.

In this role, you\xe2\x80\x99ll be a bridge between the business side and technical side of our claims management system, translating business policies into formal specifications for the development and operation of our health care technical systems.

This opportunity is temporary for 18 months.

How you\xe2\x80\x99ll make a difference: You\xe2\x80\x99ll help protect the financial integrity of B.C.\xe2\x80\x99s workers\xe2\x80\x99 compensation system, ensuring we serve British Columbians now and in the future.

Where you\xe2\x80\x99ll work

WorkSafeBC, we offer a hybrid work model that combines the convenience of working remotely with the dynamism of working in one of our offices, based on the operational needs of the position.

In this role, you\xe2\x80\x99ll work primarily from your B.C. home and occasionally in our Richmond office.

What you\'ll do

  • Develop and maintain rules, based on business requirements, that drive an automated claims adjudication engine
  • Lead cross-divisional working committees to review and implement rule changes
  • Develop communication strategy for distributing information to support change and updates to the claims management system
  • Provide input into contract negotiation, development, and proposed service delivery changes to health care programs, identifying the potential implementation impact to the technical systems that support the programs
  • Consult on and implement projects by preparing schedules for program enhancements, identifying requirements, milestones, and dependencies, developing comprehensive test plans, and measuring expected results
  • Provide work direction to the technical rules administrator
Is this a good fit for you?

We\xe2\x80\x99re looking for someone who can:
  • Plan, prioritize, coordinate, and monitor complex and concurrent activities and projects to consistently meet deadlines in a changing environment
  • Take initiative, provide leadership, delegate and monitor work
  • Understand business requirements and technical information and communicate clearly to business and technical audiences, verbally and in writing
  • Apply project management techniques, including planning, analyzing, implementing, monitoring, and follow-up
  • Present data using MS Excel and Word
Your background and experience
  • A degree in business administration or a related field
  • A minimum of three years of experience in business analysis, data analysis, or business information analysis, where you created technical rules based on business requirements
  • Experience in healthcare is an asset
  • Experience presenting data using MS Excel and Word
  • Working knowledge of Tableau is an asset
We\xe2\x80\x99ll consider an equivalent combination of education and experience.

Important to know

Before we can finalize any offer of employment, you must:
  • Confirm you\xe2\x80\x99re legally entitled to work in Canada
WorkSafeBC\xe2\x80\x99s COVID-19 Employee Mandatory Vaccine Policy (the \xe2\x80\x9cPolicy\xe2\x80\x9d) is suspended effective January 9, 2023, however we reserve the right to re-implement it in response to changes in the public health landscape, including public health orders. We are committed to the protection, health, and safety of our employees and our Communicable Disease Prevention Program and related protocols remain in effect.

Who we are

At WorkSafeBC, we promote safe and healthy workplaces across British Columbia. We partner with workers and employers to save lives and prevent injury, disease, and disability. When work-related injuries or diseases occur, we provide compensation and support injured workers in their recovery, rehabilitation, and safe return to work. We\xe2\x80\x99re honoured to serve the 2.49 million workers and 263,000 registered employers in our province.

What\xe2\x80\x99s it like to work at WorkSafeBC?

It\xe2\x80\x99s challenging, stimulating, and rewarding. Our positions offer diversity and opportunities for professional growth. Every day, the work we do impacts people and changes lives. What we do is important, and so are the people we do it for.

Our ability to make a difference relies on building a team with a rich variety of skills, knowledge, backgrounds, abilities, and experiences that reflects the diversity of the people we serve. We are committed to fostering a welcoming, inclusive, and supportive work culture where everyone can contribute as their best, authentic self.

Learn more: Discover .

Our benefits

As a member of our team, you\xe2\x80\x99ll have access to services and benefits that help you get the most out of work \xe2\x80\x94 and life. Along with a competitive salary, your total compensation package includes:
  • Extra 4% of your salary in lieu of benefits and 4% in lieu of vacation from the day you start
Once you\xe2\x80\x99ve worked a certain number of hours (approximately 12 months), you\xe2\x80\x99ll switch to getting:
  • Up to 4 weeks of vacation
  • Extensive health care and dental benefits
  • Sick leave and long-term disability coverage
Learn more: Find out .

Want to apply?
  • Applications are welcomed immediately, however must be received no later than 4:30 p.m. PST on the closing date.
  • Please note that we will be starting assessments prior to the closing date.
We encourage all qualified applicants to apply. If you require an accommodation in the assessment process, please email when you submit your application.

WorkSafeBC

Beware of fraud agents! do not pay money to get a job

MNCJobz.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.


Related Jobs

Job Detail

  • Job Id
    JD2216318
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $40.35 - 48.91 per hour
  • Employment Status
    Permanent
  • Job Location
    Richmond, BC, Canada
  • Education
    Not mentioned