Clinical Systems Analyst

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

Lansing, USA


<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p>

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Competitive Compensation and Benefits Package

Overview: <br />The Clinical Systems Analyst will be responsible for the support and configuration of Health Management clinical system applications. Support consists of issue intake, triage, and assignment. In addition to operational support, the person in this role will need to elicit business requirements for new business requests, fixes, and execute testing and QA processes. This includes some analysis of business workflows, recommendations for system configuration to meet business needs, development, QA, testing, coordination, and implementation of system configuration.&nbsp;The Clinical Systems Analyst will be responsible for Case Management training and quality auditing. This individual also collaborates with all pertinent Advantasure teams, project managers, contractors, clients, and software vendors where applicable<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.&nbsp;</p>
Responsibilities: <br /> <ul> <li>Create case management job aids, training guides, quality audit tools, and materials in coordination with the Health Management leadership team.</li> <li>Develop, schedule, and lead training sessions on case management workflows, processes, and multi-system use</li> <li>Evaluate staff performance in training environment and provide coaching and skill development support</li> <li>Perform quality audits on case management episodes, workflows, and processes</li> <li>Lead troubleshooting efforts for configuration issues of moderate complexity and collaborates with respective IT teams on resolution.</li> <li>Document, track, and monitor configuration issues and resolutions.</li> <li>Gather configuration requirements from Clinical Services business owners. Provide recommendations and perform system configurations to meet business need for new implementations and existing business processes, including document development and configuration</li> <li>Develop and maintain documentation and matrixes as needed to support design and configuration.</li> <li>Maintain version control of configuration updates in test and production environments.</li> <li>Ensure that completed configuration changes fully satisfy the business request in terms of data integrity and requirements.</li> <li>Help identify and resolve workflow issues related to technology and facilitate appropriate escalation for timely resolution.</li> <li>Troubleshoot, diagnose, and follow up on problems through problem resolution and communication back to end-users, stakeholders, and other interested parties.</li> <li>Act as the first line of support for end-user issue intake by triaging of issues, assessing the priority/severity/urgency, and assigning to appropriate team members via JIRA and email communications</li> <li>Perform verification and UAT testing, including creation of test plans, test scripts, and coordination of UAT testing with business users.</li> <li>Utilizes presentation and interpersonal skills to train end-users and communicate program progress to leadership teams.</li> <li>Assist with release validations.</li> <li>Analyze business processes to ensure accurate system configuration.</li> <li>Perform QA audits of the care management systems data and initiate corrective responses.&nbsp;</li> <li>Act as the Clinical Subject Matter Expert (SME) to represent Health Management Operations in meetings. Authors user stories with process flows, mockups, and acceptance criteria in requirements tracking system.</li> <li>Works in close collaboration with Health Management, Implementation, Reporting, and IT teams.</li> </ul>
Requirements: <br /> <p><strong>EDUCATION OR EQUIVALENT EXPERIENCE:</strong></p> <ul> <li>Bachelor&rsquo;s degree in Computer Science, Information Systems, or a related field.&nbsp;</li> <li>Relevant combination of education and experience may be considered in lieu of degree.&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp;</li> <li>Certification or progress toward certification is highly preferred and encouraged.</li> </ul> <p>&nbsp;</p> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Healthcare background in a managed care environment required including experience in Case Management, Utilization Management, and Claims Processing required.&nbsp;&nbsp;</li> <li>Five years experience in an Operations environment with demonstrated technical experience working with multiple care management systems and teams that provide the necessary knowledge, skills, and abilities.&nbsp;</li> <li>Some supervisory and training experience in healthcare is preferred.</li> </ul> <p>&nbsp;</p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Excellent verbal and written communication skills required.</li> <li>Knowledge of business and management principles and practices required.</li> <li>Demonstrated flexibility, adaptability, self-discipline, and ability to work independently, as well within a group is required.</li> <li>Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques required</li> <li>Ability to interact and work effectively with internal and external stakeholders at various levels required.</li> <li>Ability to partner with product and technology teams to implement technology solutions required. Knowledge of Advantasure data structures preferred.</li> <li>Knowledge and proficiency in JIRA, JIVA, Symphony, IkaSystems, and Microsoft applications required.</li> <li>Proven analytical and problem-solving skills required.</li> <li>Proficient in prioritizing, multi-tasking, and managing multiple projects and implementation timelines required.</li> <li>Knowledge and experience in organizational effectiveness and operations management preferred.</li> </ul>