Business Systems Coordinator - Claims

at  Pbc Solutions

WHO IS PBC SOLUTIONS?

PBC Solutions Ltd. is a wholly owned subsidiary of PBC Health Benefits Society (operating as Pacific Blue Cross). Our mandate is to design, transform, and deliver the benefits and claims administration services offered by governments and other large organizations along with our consortium partners Advanced Solutions (which is our information management partner), NTT DATA, and EY.
Starting in the spring of 2023, PBC Solutions will administer Health Insurance BC Services (HIBC) on behalf of the BC Ministry of Health. HIBC Services administers medically-necessary insured doctor and hospital services through the Medical Services Plan (MSP) and drug coverage through the PharmaCare and Fair PharmaCare programs.

POSITION SUMMARY

The Claims Business System Coordinator applies extensive business knowledge to support the development and implementation of Health Systems. The position is involved with both long-term (multi-year) and short-term projects. The position delivers multiple services to these projects by providing business acceptance testing, user business and systems support, advice and guidance in operations, data integrity and maintenance of the health systems. This work requires high accuracy as both financial information and personal medical information are reviewed, updated, and/or verified frequently.

REQUIRED EDUCATION AND EXPERIENCE

• Diploma or completed post-secondary coursework in business or public administration, computer technology, or systems administration or equivalent work experience in a related business environment
• Minimum two years’ experience in a business/production role in a medium to large corporate or government organization
• Advanced knowledge of HIBC policies preferred
• Advanced knowledge of Microsoft Office, Outlook, Microsoft Word and Excel and the ability to operate standard office equipment

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of on-line computer-based health programs, services and systems would be an asset
• Advanced knowledge of HIBC systems of record preferred
• Demonstrated aptitude for continuous learning and innovative thinking
• Demonstrated ability to investigate, troubleshoot, and solve various technological problems
• Attention to detail
• Strong documentation skills

WHAT’S IN IT FOR YOU

We offer a robust health & dental benefits plan, with flexible options that will meet you and your family’s needs. We also offer a Defined Benefit Pension Plan (PSPP), for all eligible employees.
We strive to create a workplace where everyone feels valued and employees feel empowered to freely participate and contribute regardless of race, ethnicity, gender or gender identity, sexual orientation, religion, ability, education level, parental status, or socioeconomic status.
PBC Solutions is an equal opportunity employer and welcomes applications from all qualified candidates.
To request an accommodation in completing this application, pre-employment testing, interviewing or otherwise participating in the employee selection process, please direct your inquiries to hr@pbcsolutions.ca
Does this opportunity resonate with you?
Are you seeking a work environment that will challenge you, provide stretch opportunities, and support your success and growth? Then you’ve found your ideal work environment - Apply today please! We’d love to talk with you to explore this opportunity further with you.
Please note, if selected for this opportunity, you will be required to undergo a background check in accordance with PBC Solutions policies.
We sincerely thank all candidates for their interest, however only those selected to continue in the recruitment process will be contacted.
Please apply by JUNE 19, 2024 AT 3:00 PM PST . An eligibility list may be established for this position.

• Provide Business Acceptance Testing (BAT) for projects and system upgrades to ensure changes meets Operations workflows and procedures.
• Respond to queries, to provide support for system users of HIBC applications (including data access procedures and transactions).
• Perform and document compliance evaluations in accordance with client standards.
• Understand and comply to PBC Solutions, legislated and client policies and work procedures accurately, 98% of the time to meet our Quality Service Level Requirements (SLR) and to provide excellent customer service.
• Adhere to your work commitment and daily schedule 95% of the time so that PBC Solutions can meet its business goals efficiently and reliably.
• Manage your interactions with callers, clients, and colleagues respectfully, collaboratively, and professionally to contribute to a harmonious, productive work environment