Business Systems Analyst II, Managed Care Administration

Denver Health Denver , CO 80208

Posted 3 months ago

Job Summary

Your day to day will involve systems support, trouble shooting, root cause analysis and inter-system validation. Those activities will involve reading logs from a variety of sources, working with business\IT\vendor teams, and assimilating that data into a clear picture of the events that lead to the issue or confirms validations.

At times you will need to work with and drive the vendor to provide the data and\or perform the analysis and provide you the results for your final review. Your root cause analysis will lead to requirements development in order to close the loop on the issues and potentially automate the final solution. There will also be project based work which will need to be incrementally worked with documentation of progress and milestones being met on time and on budget.

You will work with internal business users to obtain and document business requirements and work within your team to translate them to the appropriate technical requirements, process flows, and workflows for systems implementation. You will work with vendors and vendor resources to design, document and implement the final solution. You will also participate in the review of existing process flows and workflows in order to evaluate performance and improve upon it if possible.

You will leverage basic to intermediate scripting skills to write SQL scripts and\or PowerShell scripts for triage & reporting purposes. You will be working PHI data and will follow HIPAA regulations to ensure the data is safe and secure at all times. Scripts may be used as the basis of future long term fixes to business issues.

You will follow the basic SDLC tenants and follow industry standard best practices. Familiarity with Agile Methodologies, Scrum\Kanban, and source control a plus. From time to time you will also need to present updates, triage results, RFP analysis, etc. to senior staff as well as peers. You will also be involved in the design, development and delivery of training internal staff on new and\or updated systems.

Minimum Qualifications

Education and Experience 1. Bachelor's Degree required.

Concentration in Computer Science, Information Systems, Business or Healthcare Related field preferred. 2. Four years of related business experience as an analyst on multiple projects with a variety of complexities, including application implementations and vendor\software selections required. 3. In lieu of a Bachelor's degree: a.

Associate's degree and 7 years related experience required. b. High school diploma or GED and 10 years related experience required. 4. Experience with Healthcare Payer systems preferred. 5.

Experience with TriZetto QNXT or another enterprise claims adjudication system, enrollment system and\or care management system preferred. 6. Experience with managing GlobalScape or another enterprise Managed File Transfer system preferred.

Knowledge, Skills and Abilities 1. Knowledge of medical terminology, health insurance, Medicaid, and\or Medicare preferred. 2.

Possess effective written and verbal communication skills and ability to work independently with minimal supervision, yet you also have an ability to work within a team. 3. Able to interview candidates for team positions.

Computers and Technology 1. Sound knowledge of Microsoft Office applications, Visio and Microsoft SharePoint. 2.

Excellent presentation skills using Microsoft PowerPoint. 3. Basic to intermediate level ability to develop utility scripts in PowerShell. 4. Basic to intermediate level ability to develop SQL scripts for MS SQL Server. 5.

Technical understanding of various software technologies, tools and platforms. 6. Knowledge of specific Health Insurance industry IT applications is preferred. 7. Skills in compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. 8. Programming\Development skills preferred.

Certificates, Licenses and Registration 1. Certification of Competency in Business Analysis (CCBA), Certified Business Analysis Professional (CBAP), Project Management Professional (PMP) preferred.

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver's 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.

As Colorado's primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.

Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

"Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class."



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Business Systems Analyst II, Managed Care Administration

Denver Health