Description
Hybrid: Applicants must be a California resident as of their first day of employment.
PRINCIPAL RESPONSIBILITIES:
The Technical Analyst II will provide technical analysis and support in areas of health care related applications, authorizations, and enrollment file management, under the supervision of the IT Applications Leadership. The duties include work in the areas of user and systems requirements, support and analysis, documentation, reporting, applications support, troubleshooting and maintenance. Additional responsibilities for this role are reporting to the Senior Manager, IT Applications requires an in-depth understanding of incoming and outgoing file systems, workflow configurations and excellent hands-on experience to manage changes/features and processes to various health care related applications.
ESSENTIAL FUNCTIONS OF THE JOB
• Organization expects job performance to be consistent with its vision and mission. Day to day work is focused on but not limited to these key performance areas.
• Determines requirements, designs, builds, tests, implements, maintains and enhances business systems. Analyzes, detects, identifies, and corrects technical problems and deficiencies or provides new solutions to improve the system performance through automation.
• Create/edit new/existing configurations to accommodate requests from various business teams. Conduct impact analysis of configuration changes, validation of configurations, coordinate and manage push to production.
• Work with operations, projects, engineering and support teams and help shape business objectives and prioritization using a well-thought-out, methodical, data-driven approach.
• Develop new and/or changes to existing call center application systems. Write and/or review workflow change requests, create and/or review documentation for new and existing change requests.
• Acts as a liaison between business and technical teams, and do gap analysis across different applications, data and data flow.
• Provide support to ensure that customer service levels are met. Identify the cause and impact of production problems, interact with IT staff and customers, and escalate as necessary.
• Evaluate existing systems for design efficiency and resource utilization to assure system performance and functions meet business needs.
• Performs related and other duties as assigned.
PHYSICAL REQUIREMENTS
• Constant and close visual work at desk or on a computer.
• Constant sitting and working at desk.
• Constant data entry using keyboard and/or mouse.
• Frequent use of telephone headset.
• Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
• Frequent lifting of folders and other objects weighing between 0 and 30 lbs.
• Frequent walking and standing.
Number of Employees Supervised: 0
MINIMUM QUALIFICATIONS:
EDUCATION OR TRAINING EQUIVALENT TO:
• Bachelor's degree in computer science, information systems or Health Care-related field desirable. Master's Degree is a plus.
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
• 3 years' experience in the health care field, preferably in payer setting.
• 5 years' experience as technical analyst/engineer.
Interpersonal Skills.
Demonstrates customer service skills, builds relationships, and proactively respects others. Communicate effectively. Assured. Adept negotiator and reliable business partner. Facilitates teamwork with a strategic view.
Decision-Making Ability.
Work guided by broad areas of accountability. Free to identify problems and decide best course of action. Decisions based on business objectives and complexities may influence organization strategy. Unusual situations are reviewed with a manager.
A. Decisions and actions may affect customers.
B. Decisions and actions may affect a work group or team.
C. Decisions and actions may affect a department.
Analytical Ability.
Apply professional business, scientific, technical knowledge to non-routine and very complex problems in innovative ways.
Management or Supervisory Responsibility.
None.
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE)
• Proficiency with SDLC tools and processes.
• Strong knowledge of healthcare data domains, preferably in Medicaid/Medi-Cal and Medicare.
• Must be self-directed, organized and possess the ability to quickly adapt to changing processes and environments.
• Building and maintaining excellent working relationships with key leaders and staff across the organization.
• Ability to analyze business requirements, review existing systems, define the solution, and translate that into configuration and workflows.
• Able to integrate ticketing systems like Jira with source control tools and change management tools
• Experience creating metrics and reporting patterns and inferences
• Proficiency working with SCM tools and technologies
• Knowledge of cloud technologies is a plus
• Knowledge of .Net, XML, JSON, Power BI and Data Modeling is a plus
• Working experience as a developer and automation scripter is preferred
• Experience in managing call center systems.
• Proficiency writing SQL queries and being able to help business with Business process automation is a plus.
• Knowledge of State and County health plan membership processes.
• Strong written and verbal communication skills.
• Strong organizational skills and detail-oriented with the ability to handle multiple priorities.
• Proven history of clear, concise and detailed documentation.
• Ability and willingness to learn.
Salary Range:$110,094.40 -$165,131.20 Annually
