System Development Analyst

Position Summary:

Systems Development Analyst (SDA) is responsible, under supervision, for developing user specifications, operations workflows, complex application build/configuration, testing, and implementation of applications such as Tapestry, MyChart, PlanLink and Healthy Planet, and other applications in support of the health plan. Ultimately, their goal is to help fulfill our mission of positively impacting the health and wellness of those we serve in our community.

Essential Duties and Responsibilities:

• Assists in building and testing system changes and/or updates for EPIC applications such as Tapestry AP Claims and Contracts, Benefit Engine, Utilization Management, Healthy Planet, PlanLink, MyChart, Disease and Case Management, CRMs, and Provider and Member Operations

• Assists in maintaining EPIC builds and INI's such as, EPM, EPP, CVG, NET, BGR, MGR, LOB, and related INI's that are used to define the networks and plans maintained by the Health Plan implemented by the Systems Development Engineer

• Receives and works on requested changes related to Managed Care operations and gathers, designs, and develops detailed specifications incorporating business and technical requirements to support Managed Care business model

• Assists in debugging issues related to EPIC files such as Claim, MOOP, Eligibility, 835 and other files loaded and produced by Tapestry related systems implemented by Systems Development Engineer

• Performs tasks to effectively test changes or identify system problems, such as Claim, Eligibility and MOOP loads, AP Claim payment process, and various online updates and workflows

• Builds and maintains production control operations as it applies to the support role of the batch job in EPIC

• Works with EPIC Technical Support (TS) staff when evaluating and resolving EPIC system issues

• Communicates with Business Units and IT team members regarding new development and issue resolution

• Evaluates and analyzes subject matter, and develop specifications to create or enhance processing functions

• Consistently meets assigned project deadlines and goals

• Protects IT operations and organization by keeping information confidential

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Skills and Abilities:

• Well-organized, action and results oriented team player with exceptional time management skills to support multiple initiatives simultaneously in a fast-paced environment with accuracy

• Ability to establish and articulate results with high attention to detail and the ability to prioritize

• Must have strong technical knowledge and experience with a variety of programming languages, operating systems and database technologies to meet objectives

• Good presentation skills with solid communication capabilities and practices, both oral and written

• Requires innovation and vision in problem-solving and meeting objectives in a timely manner

• Ability to research, analyze, design, plan, organize, coordinate, implement, and perform necessary follow-up and closure procedures for system related deliverables

• Accurate keyboard skills and proven ability to enter data at the required speed and knowledge of correct spelling, grammar and punctuation

• Excellent communication skills, both written and verbal, to interact with the business in gathering requirements and presenting data from the reports

• Ability to ensure processes comply with HIPPA regulations

• Maintain current EPIC Certifications/Proficiencies by completing New Version Training (NVT) and Continued EPIC Education (CEE)

Work Schedule:

As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule. Staff are able to work from home 3 days a week and will report to the office 2 days a week.

*The company reserves the right to change the work schedules based on the company needs.

Physical Demands:

While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands; reach with hands and arms; and talk or hear. The employee is occasionally required to climb or balance and stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, ability to adjust focus, and ability to see color.

Work Environment:

While performing the duties of this job, the employee is occasionally exposed to vibration, whiteout, and toner. The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.

We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.

Qualifications

• Bachelor's degree (B. A. / B. S.) from a four-year College or university or five (5) years experience in IT field

• Microsoft Certifications (preferred)

• Knowledgeable of state and federal regulations

• Knowledge of Certification/Accreditation Standards (NCQA, JCAHO, CMS, etc.)

• Proficient in relevant computer applications such as MS Word, MS Excel, MS PowerPoint, Tapestry, and Epic

• Knowledge in healthcare benefits, benefit administration and health care delivery, EDI and paper claim lifecycle, along with health insurance industry practices and standards

• Knowledge of SQL, J-Export/Import, EPIC Batch Process and scheduler, Chronicles, and Data Courier

• Knowledge of SSRS, SSIS, Crystal Reports, EPIC Query function, EPIC Security Build and Maintenance, CID Mapping Tool, and Reporting Workbench

• EPIC Certification in the primary Tapestry module(s) assigned, or must achieve Epic Certification within 6 months of employment

• EPIC Proficiency in a secondary Tapestry module(s) (preferred)