What are the responsibilities and job description for the Health Payer Application Analyst III position at Svam International, Inc.?
Job Details
URGENT REQUIREMENT
APPLICATION ANALYST III
Location: California
Duration: Long Term
Client has strong preference for candidates to be in California. Must have health payer experience.
Responsibilities:
- Provides medium-to high-level support and expertise related to systems configuration, research and analysis, and State policy and procedure implementation, in support of the Application Analyst IV, with duties including but not limited to:
- Assisting with the integration process of new vendors
- Performing troubleshooting and resolving issues pertaining to core systems, as well as internal development and integrations
- Supporting the Application Analyst IV by gathering information related to issues with core systems and providing recommendations regarding resolution of issues
- Assisting in cross-functional tasks/projects while achieving timely and accurate deliverables
- Supporting internal customers with workflow analysis related to core systems
- Providing input on the development and implementation of administrative policies, processes and procedures related to Application Services Department operations
- Supporting the Application Analyst IV and Application Services leadership by participating in the design, development, testing, and implementation of Alliance Tactical Plan projects, operations and reporting solutions
- Assisting with assessing software bugs and change requests in order to support the Application
- Analyst IV and Application Services leadership in prioritizing with stakeholders, internal development, and vendors
- Supporting generation of routine operational and system reports for Application Services leadership, subject to peer review
- Assisting the Application Analyst IV with the assessment and interpretation of policy and operational changes from the Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services (CMS) and other governmental entities
- Supports the Application Analyst IV and Application Services leadership in the analysis of Alliance business procedures, performance of medium to high level complexity systems configuration, and conducting related research, with duties including but not limited to:
- Assisting in testing and documenting configuration solutions for assigned functions
- Evaluating complex departmental processes, workflows, procedures and related documentation, conducting research, and making recommendations for improvement
- Assisting with defining project scope, goals and deliverables that support business goals in collaboration with stakeholders
- Assisting with the coordination and development of functional specifications, system design specifications, and use cases for Quality Assurance, User Acceptance Testing, and Release Management
- Assisting with the development of Application Services operational procedures
- Provides core systems technology training and subject matter expertise to Alliance staff in coordination with other Application Analysts, Application Services leadership, and the Training and Development Department, with duties including but not limited to:
- Providing guidance, technical expertise, and support to other Application Services Department staff
- Reviewing processes and procedures to identify training needs and providing recommendations in order to ensure continuous process and quality improvement
- Working with departmental leadership and staff, and the Training and Development Department to design, develop, administer, and evaluate training
- Training staff on the use of core systems
- Performs other duties as assigned
Education And Experience
- Bachelor's degree in Business Administration, Health Care, Information Technology, Information Science, or a related field and a minimum of five years (or a Master's degree and three years) of product configuration experience which included some experience related to training staff and a minimum of three years of experience in a managed health care environment; or an equivalent combination of education and experience may be qualifying
Desirable Qualifications:
- Experience with Alliance core and ancillary systems
- Experience working with methodologies such as Application Lifecycle Management and various project management methodologies and best practices
- Thorough knowledge of the Medicaid Program, the methods of product configuration in a Medicaid/Medicare environment, and the medical terminology, related procedures, and national diagnostic coding
- Working knowledge of: health care regulatory policies, principles of health care planning and administration, health care data analytics, State and Federal Legislative processes, and Medi-Cal.
- Some knowledge of Agile/Scrum development environments
- Proficiency in the use of SharePoint
Submission format
Full Name of the candidate:
Work Authorization:
Availability:
Rate: $/hr all-inclusive without Benefits
Current location:
Contact:
Email:
Linkedin URL:
Reason for Change:
Project End date:
Regards,
Kapil Thapa
Sr. Manager US IT Recruitment
SVAM International | 233 East Shore Road | Suite # 201,Great Neck, NY 11023
Cell: ext 108| Fax: | Email: |
CMMI Level 5 | ISO 9001:2008 |ISO 27001:2013 Company | LISA Award winner
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