Technical Rules Analyst (Health Care Services)

Our Health Care Operations department is looking for a Technical Rules Analyst who will champion the systems and processes that make timely referrals-to-treatment possible for injured workers and ensure accurate and timely payments to those that care for them.

In this role, your work will shape the billing experience of health care providers who care for injured workers. You'll be a bridge between Health Care Operations and technology, transforming complex business policies into clear actionable rules that keep our health care systems running smoothly. Your ability to translate business needs into precise and understandable technical specifications will help us optimize, upgrade, build and maintain systems that create a positive experience for health care providers.

You will also dive into health care and claims data to uncover opportunities, recommend evidence-based improvements, and implement rule enhancements that make our payment systems more accurate and efficient.

There are 2 temporary opportunities, 12 and 15 months.

How you\'ll make a difference

You\'ll help protect the financial integrity of B.C.'s workers\' compensation system, ensuring we serve British Columbians now and in the future.

Where you\'ll work

At WorkSafeBC, we offer a hybrid work model that combines working remotely, and in our offices based on the operational needs of the position.

Responsibilities

• Develop, analyze and maintain business rules, based on business and legislative requirements, that drive an automated claims adjudication engine
• Lead cross-divisional working committees to review, prioritize, and implement rule changes
• Analyze health care and claims data to identify gaps, inefficiencies, or inconsistencies within existing rules, and develop evidence‑based recommendations to improve payment accuracy and system performance
• Support the implementation of recommended rule changes by collaborating with the appropriate business teams throughout design, testing and deployment
• Develop communication strategy for distributing information to support rule changes, system updates, and impacts to business processes within 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

We\'re Looking For Someone Who Can

Your background and experience

We\'ll consider an equivalent combination of education and experience.

Important to know

Before we can finalize any offer of employment, you must :

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\'re honoured to serve the 2.49 million workers and 263,000 registered employers in our province.

What\'s it like to work at WorkSafeBC?

It\'s 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 who we are.

Our Benefits

As a member of our team, you\'ll have access to services and benefits that help you get the most out of work — 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\'ve worked for 1820 hours (approximately 12 months), you\'ll switch to getting :

Learn more :

Find out what we offer.

Want to apply?

We encourage all qualified applicants to apply. If you require an accommodation in the assessment process, please email Recruitment Testing Accommodation (SM) when you submit your application

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