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The key requirements for this position include:

• 8+ years of proficiency in SQL, MS Technologies development role with strong proficiency in EDI and Javelina.

Main Responsibilities:

• Very strong in C#, SQL, VB SSRS
• Should have good knowledge in EDI
• Excellent understanding of Javelina data structures
• ‎ Should have worked on File Programming.
• Should be very strong hands-on experience in Java and jQuery
• ‎ Good knowledge of Web development application using ASP. Net.
• Good communication and Interpersonal skills.

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Principle Accountabilities:

The key areas of responsibility for the Senior Applications Analyst include but are not limited to:

TeamSupport Ticket Management

• Coordination with HCIM clients on the resolution of submitted tickets in the TeamSupport application
• Reviewing open tickets and collaborating with the assigned HCIM resource to ensure they are actively working their tickets. Escalate internally or with client as appropriate.

HCIM Product(s) Support

• Provide client support on all HCIM software products as assigned, including the complete SymKey product line and other HCIM products. Specific support on SymKey products for EZ-CAP, PLEXIS, and/or any other future developed platforms
• Implementation and Support of HCIM Products and 3rd party HCIM reseller products
• Participating in QA testing of new HCIM software products and updates to current HCIM software products, working closely with the Product Solutions, Quality Assurance and Development Teams. HCIM products include SymKey for multiple claims systems and their various modules, as well as any other developed products
• For new client product sales and existing client new module product purchases, act as secondary HCIM resource for remote installations and configuration, pre-onsite testing, and on-site implementation and client training
• Work with Client Account Executives in providing Client Account Management support as needed/requested.

Job Functions
The Senior Applications Analyst’s typical job duties/responsibilities include, but are not limited to:

• Participating as a member of the Product and Support teams in all scheduled meetings
• For the SymKey product line, develop SymKey SQL queries that provide the function of processing SymKey jobs and/or automating client business workflows
• Provide SymKey training to clients during initial implementation, and then as needed
• Provide client Customer Service and address Product Support inquiries
• Participate in on-site HCIM client implementations. Follow-up on client’s post-install activities
• Communicate to Reporting Manager any client reported product or services deficiencies, enhancement requests, and any possible impact (negative or positive) related to ongoing client relationships and other client or internal communications as directed
• Development of a variety of HCIM software documentation
• Work with Technical Services on development of technical specification documents for SymKey and HCIM Product Quality Assurance on regression testing, and provide key feedback
• In the Client Contact/Issues Tracking system (TeamSupport), log each client support contact regarding HCIM software issues/bugs/enhancements/software updates
• Follow customer support issues through to resolution with reporting clients, tracking support in HCIM’s ticket system (currently TeamSupport). Follow up with clients to ensure they are actively responding to tickets HCIM has worked. Perform quarterly updates of all client contact information
• Escalate customer support and bug fix issues to and interact with Technical Services as needed
• Work closely with HCIM clients on user testing of HCIM products, for pilot sites and for product upgrade user testing
• Perform monthly analysis and reporting on statistics derived from use of HCIM’s ticketing system
• Develop HCIM product Knowledge Base articles for internal use with HCIM’s ticketing system and external client use with HCIM’s Customer Support Hub
• Maintain HCIM’s Customer Support Hub
• As needed, update HCIM product licenses on client systems and install software upgrades and updates
• Translate business requirements to written System/Functional requirements and pass these requirements on to the Development Team to be coded. Work directly with the Development Team as needed
• Draft and format HCIM product update version release notes, working closely with the Development Team and Quality Assurance
• Draft, format, edit and update HCIM product and procedures documents as needed
• Annually, and as needed throughout the year, secure the Productivity Reports from each SymKey client, and compile the statistics into the SymKey Productivity Stats spreadsheet
• As requested, work with Product team to develop website/blog articles for submission to HCIM Marketing
• Continually develop technical skills through work on HCIM projects and continuing self-education
• Other special projects as assigned

Experience & Skills
The ideal candidate will possess:

• A minimum of 8 years of related and proven work experience in health care and technology, including client-facing roles
• Bachelor’s degree preferred (or equivalent work experience), plus continuing education courses
• Possess a strong interest and proven experience in business analysis/data analysis and operational perspective in the managed care or healthcare payer industry
• A keen interest and ability to evaluate processes and implement improvements
• Related experience in the managed care and/or Healthcare payer industry including influencing the direction and design of software products; experience with operations, finance, and information technology
• Demonstrated ability to provide advice and counsel across a complex organization
• Experience in data management, systems implementation, business/data analysis, and redesign of business processes
• Strong documentation skills, including experience with policies and procedures and software documentation
• Intermediate level SQL query development skills
• Effective interpersonal, language, communication, and presentation skills
• Ability to generate and earn respect and trust from management, colleagues, and external constituencies
• Strong problem-solving skills, with ability to manage a problem through all steps to a complete resolution
• Self-assured, confident, and goal-oriented

Work Environment
The Senior Applications Analyst will perform the above duties from his/her home-based office, in cooperation with other HCIM colleagues who shall be located elsewhere.

• Travel for occasional face-to-face work sessions with other colleagues and/or HCIM clients may be necessary.
• Travel for various business purposes may be required as needed.
• If applicable, HCIM will support Colleague to maintain any/all certifications that are relevant to the position.
• This job description is not intended to be all-inclusive. The Senior Applications Analyst may perform other related duties as negotiated to meet the ongoing needs of the company.

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This job works closely with customers and design teams in prioritizing data and information requirements. This job provides analysis in the development and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements into applications that employ appropriate decision support and reporting tools. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Lead and Design the data integration between Altruista and other applications.

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Job Summary: 

• During the pre-implementation phase, candidate will lead business requirements review/gap analysis with the client. 

• Identify gap and recommend product Change Requests.   Work with the Product Owner to clarify business requirements, assumptions and acceptance criteria.

• Act as the central point of contact for the client team for business questions and issues. 

• During the implementation phase, work with client team to configure and test the system

• Learn new features introduced with 3x year product releases – work with clients to configure them appropriately

• Provide client training and product demos, as required

• Participate in client meetings, as requested.

• Review and contribute to product documentation including release notes, user and configuration guides

• Develop additional user documentation, as required

Skills Required:

• Ability to communicate effectively with business users, both verbally and in-writing

• Ability to schedule and run client meetings

• Ability to research questions and issues that arise by using existing documentation and hands-on troubleshooting

• Ability to manage priorities and deliverables

• Ability to use resources effectively to triage defects

• Comfortable doing presentations and product training sessions

• Ability to apply MITA 3.0 framework

Preferred Experience: 

• Implementation or Maintenance of a Medicaid Claims Processing Module or System, Health PAS Administrator/QNXT preferred

• 5+ years of experience with end-to-end Claim business processes, including EDI and Financial functions required

• 5+ years of experience with configuration of a claims processing module, Health PAS Administrator/QNXT preferred

• Understanding and Application of MITA 3.0 framework, particularly those areas that a Medicaid claims processing system includes and the dependencies among them

• Experience with problem analysis and resolution

• Implementation of different Medicaid delivery models (FFS, MCO, PCCM, Medical Home, etc.)

• Experience with requirements writing, validation and tracking

• 5+ years of experience working with State customers, DDI teams and Account teams

• Experience using ALM for requirements tracing

• Project management experience is a plus

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Job Summary:

Overview

• Business Process /Engineer is responsible for developing an informed knowledge of business areas to accurately and thoroughly document business processes, integrations, systems used within the portfolio they support, other internal and/or external entities sending or receiving work, and operational pain points. Ultimately, you will create a framework for understanding how the business delivers products and services (i.e., value) to its customers. In this role, you will work closely with the Process Engineers to formulate and develop new and improved business models based on evolving and advanced digital capabilities of business systems. The Business Process Analyst/Engineer will participate in all phases of a process improvement engagement.

Core Responsibilities

• Develop solid working relationships with business partners.
• Conduct ongoing interviews, and demos to understand the work performed.
• Thoroughly define and document business processes and translate documentation into workflows to map current state processing models.
• Gathers existing process documentation and reviews with process SMEs.
• Assist in representing business process needs with technology teams to define requirements and business cases for the technology developments.
• Coordinate with business and technology teams, ascertaining system requirements, such as program functions, output requirements, input data acquisition, system techniques and controls, and requests for system access.
• Map information flows, chart value streams, diagram processes, and models system dynamics to facilitate common understanding across teams.
• Conduct statistical analysis.
• Oversee testing and the execution of process enhancements.
• Utilize broad knowledge of systems, processes, and solutions to support business problem analysis and assist in determining the best methodology to resolve defects or issues.

Essential Competencies

Professionalism/Personal Accountability, Collaboration and Teamwork, Communication, Flexible and Adapts to Change, Service to Customers and Clients

Skill Qualifications 

Required:

• Demonstrated knowledge of statistics, LEAN Six Sigma, data analysis, industry tools (SIPOC, VOC, Process Mapping, Process Requirements), and process engineering methodologies
• Demonstrated effective communication skills.
• Demonstrated ability to build consensus among and between business users and IT
• Demonstrated ability to multi-task and establish priorities.
• Advanced skills in Visio or other process modeling tools (BPMN/Case Management)
• Technical understanding of the digital platform, cloud applications, web services, server-side components, and APIs.
• Ability to perform intermediate to advanced SQL queries.
• Competency in Microsoft applications including Word, PowerPoint, and Outlook. Advanced skill in Excel including formulas, pivot tables, VLOOKUP, and macros.
• Assist project manager(s), scrum master(s), business analyst(s), business systems analyst(s), and test analyst(s) with duties as necessary.

Preferred:

• Lean Six Sigma Certification
• PMP

Education and Experience Qualifications 

            Required:

• BS/BA degree
• 10+ years of Business Process Improvement and business process design
• Knowledge of Lean Six Sigma principles desired
• Proven experience with project management

Physical Demands

• Must be able to remain in a stationary position for a majority of the workday.