Marketplace Carrier Integration Business Analyst

Position Overview

The Carrier Integration Business Analyst position is responsible for driving resolution of identified issues and supporting business solutions for the products and programs at Get Covered Illinois, specifically as they relate to the integration of enrollment activities between GCI’s enrollment platform and participating carrier systems. The Business Analyst works closely with internal GCI teams, vendors, and insurance carriers to analyze and resolve issues and identify new solutions and processes. The Business Analyst is expected to maximize current and new technology capabilities and business processes relevant to enrollment functional areas within GCI’s systems to develop solutions to improve enrollment data accuracy, support workflows and improve efficiencies. We invite all qualified candidates to apply.

Essential Functions

• Serves as the statewide Marketplace Carrier Integration Business Analyst for the State-Based Marketplace Division.

• Develops and implements key aspects of business processes and system development as related to enrollment data.

• Oversees the enrollment data reconciliation program serving GCI and participating carriers, ensuring enrollment data is accurate, complete and in sync, and enrollment transactions are sent and received timely.

• Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above.

Minimum Qualifications

• Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college, preferably with courses in business or public administration.
• Requires two (2) years of responsible administrative experience in a public or business organization.

Preferred Qualifications

• Prefers at least two (2) years of experience working with health insurance enrollment systems. 
• Prefers at least three (3) years of business analysis or IT system analysis experience. 
• Prefers at least three (3) years of experience working with ASC X12 TR3 5010 834, 820 file types.
• Prefers at least three (3) years of experience with strong analytical skills involving root cause analysis, business case development, gap analysis, process mapping, requirements management, design documentation. 
• Prefers at least three (3) years of experience refining business and system needs into clear and concise requirements that can easily be understood by technical and non-technical groups.
• Prefers at least three (3) years of experience with systems testing, to include developing and executing test cases. 
• Prefers Certification related to business analysis or project management such as PMI-PBA, PMP, or the CBAP.
• Prefers at least three (3) years of experience working with XML, JIRA, Confluence, or related software. 
• Prefers a bachelor’s degree in business, information technology, or another related field. 
• Prefers a Master’s Degree in business or public administration, with coursework in areas such as economic theory, accounting and finance, organizational theory, and operations research. 

Specialized Skills

• Of the two years of experience above, requires at least two (2) years of experience working with health insurance enrollment systems.

Conditions of Employment

• Requires the ability to pass a background check.
• Requires ability to travel in the performance of duties, with overnight stays as appropriate.
• The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.

About the Agency

The Department of Insurance (DOI) regulates the insurance market in the State of Illinois including, but not limited to, licensing and educating insurance agents, investigating Workers Compensation fraud, and examining the operations and finances of insurance companies domiciled in the state. We are committed to protecting consumers and regulating the insurance industry with innovation and efficiency. DOI has approximately 220 employees who are split between our Chicago and Springfield offices.

State of Illinois employees enjoy a robust benefit package, including:

• Health, Life, Vision, and Dental Insurance
• 13 Paid Holidays annually, 14 on even numbered years
• 10-25 days of Paid Vacation time annually - (10 days in year one of employment)
• 12 Paid Sick Days annually (sick days carry over from year to year)
• 12 Weeks Paid Maternity/Paternity Leave
• 3 Paid Personal Days annually
• Pension Plan
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• Flexible work schedules may be available, dependent upon position
• Tuition Reimbursement Program and Federal Public Service Loan Forgiveness Program eligibility

Visit https://www2.illinois.gov/cms/benefits/Pages/default.aspx for more information about our benefits.