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Skilled Care Data Analyst

Valley View Medical Center Winchester ,TN

The HIM Analyst preforms a variety of functions associated with Health Information System, including but not limited to health care records. Minimum Education: High school diploma or equivalent is required. Required Skills:

Posted on September 20, 2017

Software Quality Assurance Analyst

CGI Technologies And Solutions, Inc. Chattanooga ,TN

Software Quality Assurance Analyst CGI-experience the commitment Find similar career opportunities Category:Testing/Quality Assurance City:Chattanooga, Tennessee, United States Position ID:J0917-0867 Employment

Posted on September 20, 2017

**Software Quality Assurance Analyst** **CGI-experience the commitment** Find similar career opportunities Category:Testing/Quality Assurance City:Chattanooga, Tennessee, United States Position ID:J0917-0867 Employment Type:Full Time **Position Description:** CGI is looking for a Quality Assurance analyst experienced in manual, automated, and performance testing, who has a passion for solving problems. At CGI, you get to do more than just sling code or find bugs, you get to build solutions as a full time consultant with a world-class IT company. You will be involved in a mission critical project, developing quality assurance strategies and plans, collaborating with development teams, and reporting results to internal and client management. **Your future duties and responsibilities:** Collaborate with team members to find better, more efficient ways of doing things Design automation test strategies, plans, scenarios, scripts and procedures based on manual test plans, utilizing industry standard testing methodologies or processes Create system test plans, and software documentation including requirements, design, and user manuals Lead on-site and remote teams in order to perform all aspects of testing: functional, regression, load and system testing, taking part in every phase of the Software Development Life Cycle Ensure that all test items follow established change management processes and are tested and tracked using the provided test management software Solve challenging business and technical problems Provide proactive guidance to junior engineers and participate in training classes, engineering reviews, and our mentor program **Required qualifications to be successful in this role:** Experience in implementing efficient and effective data-driven automation testing strategies as well as strong knowledge in all aspects of testing including manual, performance and automated testing Proven ability to ensure appropriate testing coverage and requirements traceability through the creation, implementation and enhancement of comprehensive test plans, test cases/user stories, test steps and test automation Experience identifying gaps and deficiencies in business requirements, technical specifications, designs and testing documentation for completeness and testability Solid hands-on experience with testing tools to support automation and performance testing (e.g. Selenium, HPE, TestComplete, Cucumber, Serenity, TestNG) Experience developing in scripting languages such as Python, PERL or JavaScript Experience in GIT, Jenkins, uDeploy, Java Be highly motivated by delivering excellent services to our clients and ensuring their satisfaction BS in Computer Science, Engineering, MIS or directly related degree required Excellent verbal and written communication skills Ability to travel to client site **What you can expect from us:** **Build your career with us.** It is an extraordinary time to be in business. As digital transformation continues to accelerate, CGI is at the center of this changesupporting our clients digital journeys and offering our professionals exciting career opportunities. At CGI, our success comes from the talent and commitment of our professionals. As one team, we share the challenges and rewards that come from growing our company, which reinforces our culture of ownership. All of our professionals benefit from the value we collectively create. Be part of building one of the largest independent technology and business services firms in the world. Learn more about CGI at www.cgi.com. No unsolicited agency referrals please. CGI is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, gender Identity, sexual orientation, national origin, age, disability, veteran status, pregnancy, or other status protected by law. CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGIs legal duty to furnish information. Have you been referred by a CGI Member for this position?* **Yes** **No** **CGI members email (@cgi.com)** ***** **First Name** **Last Name** **I agree to allow CGI to contact the CGI member who referred me to obtain additional information about my application and to confirm my referral.** ***** *** This field is required.** In the US, CGI is committed to a policy of equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity and gender expression, familial status, political affiliation, genetic information, or any other legally protected status or characteristics. CGI is committed to the principles of equal employment opportunity and to compliance with US laws and regulations. Click here at http://documents.njoyn.com/homebase/cgi/AMSDocs/EEO_Policy_-_Signed_2016.pdf to access our US EEO/Affirmative action policy. Applicants have rights under Federal Employment Laws: 1. EPPA at https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf 2. FMLA at https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf 3. Consolidated EEO Is The Law at http://documents.njoyn.com/homebase/cgi/AMSDocs/EEO_Poster.pdf If you need an accommodation in order to complete the application process, click here at http://documents.njoyn.com/homebase/cgi/AMSDocs/AccommodationNeeded.pdf . We make it easy to translate military experience and skills! Click here at http://cgi-veterans.jobs/ to be directed to our site that is dedicated to veterans and transitioning service members.

Software Analyst (Chattanooga Heart - Main Office) Full Time - First Shift (2510005064)

Catholic Health Initiatives CHATTANOOGA ,TN

Software Analyst (Chattanooga Heart - Main Office) Full Time - First Shift (2510005064) Description Job Summary: Under general direction, plan, install, maintain, modify and develop company software for the CHI

Posted on September 20, 2017

**Software Analyst (Chattanooga Heart - Main Office) Full Time - First Shift (2510005064)** **Description** **Job Summary:** Under general direction, plan, install, maintain, modify and develop company software for the CHI computer systems and the enterprise network. Provide technical support to staff in solving operating system problems and other complex problems involving systems software or networks. **Essential Duties:** + Develop SharePoint environment and maintain it and all connected systems. + Maintain and upgrade Citrix environments. + Do routine auditing of all systems and reports. + Create utilities for the purpose of automating repetitive and daily routines. + Build and maintain Cherwell Help Desk Ticketing System and reporting. + Identify malfunctioning software for the purpose of implementing necessary corrective actions, resolving technical problems and providing ongoing support to the computer support specialist for the resolution of complex issues. + Analyze system response and determine tuning recommendations to improve performance. + Accurately enter tickets and provide resolutions to work orders. + Meet weekly with technology support team and Director of Information Technology + Maintain a neat and orderly work area. + Be available by email, phone, and/or cell phone for emergencies and work as needed after business hours as well as being one of the primary 24/7 contacts for various service providers in the event of a failure or interruption in service. + Work with users to define and resolve problems. + Assist the Director of Information Technology with annual budget. + Address any network, SQL or programming related issues or problems as needed. + Establish and maintain cooperative and effective working relations with all staff. **Qualifications** Education: + Bachelor's degree in computer science/engineering or equivalent education and experience. Experience: + Five or more years of relevant experience in an information technology field, with at least three years in a software analyst role. License/Certification: + None Additional Responsibilities: + Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times. + Adheres to and exhibits our core values: Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us. Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality. + Maintains confidentiality and protects sensitive data at all times. + Adheres to organizational and department specific safety standards and guidelines. + Works collaboratively and supports efforts of team members. + Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community. _Catholic Health Initiatives and its organizations are Equal Opportunity Employers(F/M/Vet/Disabled)CBCHI_ **Job** Information Technology **Primary Location** TENNESSEE-CHATTANOOGA-CHATTANOOGA HEART - MAIN **Daily Schedule** First Shift **Scheduled Hours per 2-week Pay Period** 80 **Weekends Required** Occasional **Req ID:** 2017-R0112554

Clinical Quality Res Analyst

Bluecross Blueshield Of Tennessee Chattanooga ,TN

The purpose of this position is to support the BCBST Quality Management Program to ensure compliance to applicable accreditation and regulatory agencies such as: CMS, URAC, the National Committee for Quality Assurance

Posted on September 20, 2017

The purpose of this position is to support the BCBST Quality Management Program to ensure compliance to applicable accreditation and regulatory agencies such as: CMS, URAC, the National Committee for Quality Assurance \(NCQA\), External Quality Review Organizations \(EQRO\) and BCBST required policies and procedures\. Primary responsibilities include leading the organization through the accreditation and regulatory process\. Educating and monitoring compliance to the standard across the enterprise\. This position will focus on quality and process improvements to better facilitate positive patient outcomes\. This position will also focus on monitoring and analyzing data for identification of barriers and formulating recommendations to improve healthcare outcomes\. The Quality Research Analyst serves as a resource for entry\-level staff and as project leads for department initiatives\. **Job Description:** **Job Duties & Responsibilities** **Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions\.** + Maintain extensive knowledge of accrediting body requirements to serve as a QM resource across departments and/or divisions\. + Serve as an educational resource overseeing preparation and implementation of studies/initiatives, surveys, and audits\. **Lead the development and maintenance of the annual QM, UM, and CM documents including:** + Annual Program Evaluation + Program Description + Workplan + Develop programs, policies & procedures and coordinate projects that support and enhance the overall QM program or departmental efficiencies\. + Lead coordination and support of communications and logistics functions as designated by management or required for standards compliance\. + Use research experience and data analytical skills to identify existing potential healthcare and service opportunities for improvement and design solutions for identified problems\. + Lead and coordinate multi\-disciplinary workgroups, sub\-committees, teams and any other meetings required to accomplish and document complex standards compliance\. + Ensure that all projects and departmental activities meet applicable State, Federal, NCQA and URAC requirements\. Establish and maintain excellent working relationships throughout the corporation to support department, division and BCBST corporate goals and objectives\. + Organize and prioritize multiple tasks and deadlines; work independently with limited supervision and complete various projects thoroughly, accurately and timely as assigned by management\. + Develop and maintain the QM department orientation and training manual\. + Function as a preceptor for new staff, as well as team leader for assigned initiatives, accomplishing department goals through natural workgroup leadership and coordination\. + Perform monthly compliance audits **Job Qualifications** **Education** + BS/BA in a health care or quality related degree preferred\. + Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law preferred + Clinical health degree with 5 years health care experience preferred **Experience** + Minimum of 5 years managed care experience, or experience with regulatory or accrediting body requirements \(i\.e\., NCQA, URAC, EQRO, CMS\) and Clinical Quality Improvement experience required\. **Skills/Certifications** + Certification as a Professional in Healthcare Quality, HIAA, or equivalent certification required, or being actively pursued within 1 year of hire\. + Strong analytical skills with understanding of basic statistics preferred\. + Excellent computer skills with direct experience in MS Office, Word, PowerPoint, and Excel required\. + Excellent written and oral communication skills \(including presentation and team facilitation\) required\. + Ability to work independently or in a team environment **Job Competencies** + Maintain extensive knowledge of accrediting body requirements to serve as a QM resource across all departments and divisions + Use research experience and data analytical skills to identify existing potential healthcare and service opportunities for improvement and design solutions for identified problems\. **Job Specific Requirements:** BBEX 10 AEP Case Management experience preferred **Number of Openings Available:** 1 **Worker Type:** Employee **Worker Sub\-Type:** Regular **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. BCBST is an Equal Opportunity employer \(EEO\), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made\. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or membership in a historically under\-represented group\. **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** **Tobacco\-Free Hiring Statement** To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products in any form in Tennessee and where state law permits\. A tobacco\-free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community\. All offers of employment will be contingent upon passing a tobacco/nicotine test\. An individual whose test result is positive for tobacco/nicotine will be disqualified from employment and the job offer will be withdrawn\. Individuals who fail the tobacco/nicotine screening will be permitted to reapply for employment after 6 months, if tobacco/nicotine\-free\. Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree\.gov or 1\-800\-QUIT\-NOW\. About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years\. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

Provider Contract/Cost Of Care Analyst Sr Or Consultant - 131348Sk

Anthem Chattanooga ,TN

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join

Posted on September 20, 2017

Your Talent. Our Vision.*At Anthem, Inc.,*it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and*together we will drive the future of health care.* This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. *Preferred Locations:* New York City, NY Atlanta, GA Richmond, VA Wallingford, CT May consider other locations *PROVIDER CONTRACT/COST OF CARE ANALYST SR* *Job Summary:* Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care. *Primary duties may include, but are not limited to:* 1. Performs varied data analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation proposals; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projecting different cost of savings targets based upon various analytics. 2. Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings. 3. Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. 4. Recommends standardized practices to optimize cost of care. 5. Educates provider contractors on contracting analytics from a financial impact perspective. 6. May recommend alternative contract language and may go on-site to provider premises during contract negotiations. 7. Participates on project team involved with enterprise wide initiatives. *PROVIDER CONTRACT/COST OF CARE CONSULTANT* *Job Summary:* Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals. Supports a full range of contract arrangements and pricing mechanisms. Works on complex enterprise-wide initiatives and acts as project lead. *Primary duties may include, but are not limited to:* 1. Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process. Types of analyses include performing sophisticated retrospective data analytics; building new and modifying existing complex models to create predictive impact decision making tools; performing healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analysis to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projects different cost of savings targets based upon various analytics. 2. Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures. 3. Recommends policy changes and claim's system changes to pursue cost savings. 4. Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. 5. Recommends standardized practices to optimize cost of care. 6. Educates provider contractors on contracting analytics from a financial impact perspective. 7. May recommend alternative contract language and may go on-site to provider premises during contract negotiations. 8. Participates on project team involved with enterprise wide initiatives. 9. Acts as a source of direction, training and guidance for less experienced staff. *PROVIDER CONTRACT/COST OF CARE ANALYST SR* * Requires BS/BA degree in Mathematics, Statistics, Computer Science or related field. * 3-5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare modeling required. * Any combination of education and experience, which would provide an equivalent background. * 5 years of Health care claims data experience required, including developing queries, programs, reports and advanced analytical modeling. * 5 years of developing queries and analysis using SAS, SQL required. * MS Office required. * Tableau and Hadoop experience preferred. * Experience implementing and supporting alternate reimbursement methodologies strongly preferred. * Business Analyst experience, including defining and documenting reporting and analytic system requirements and managing system testing and validation activities strongly preferred. * Master's degree preferred. *PROVIDER CONTRACT/COST OF CARE CONSULTANT* * Requires BS/BA degree in Mathematics, Statistics, Computer Science or related field. * Minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare modeling required. * Any combination of education and experience, which would provide an equivalent background. * 5 years of Health care claims data experience required, including developing queries, programs, reports and advanced analytical modeling. * 5 years of developing queries and analysis using SAS, SQL required. * MS Office required. * Tableau and Hadoop experience preferred. * Experience implementing and supporting alternate reimbursement methodologies strongly preferred. * Business Analyst experience, including defining and documenting reporting and analytic system requirements and managing system testing and validation activities strongly preferred. * Master's degree preferred. *//* *//* */Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./* **Job** *Reporting & Data Analysis* Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity. **Title:** *Provider Contract/Cost of Care Analyst Sr or Consultant - 131348SK* **Location:** *tennessee-Chattanooga* **Requisition ID:** *131348*

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65 jobs matching Is Analyst

Skilled Care Data Analyst

Software Quality Assurance Analyst

Software Analyst (Chattanooga Heart - Main Office) Full Time - First Shift (2510005064)

Clinical Quality Res Analyst

Provider Contract/Cost Of Care Analyst Sr Or Consultant - 131348Sk

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