Application Analyst III D-SNP Systems

Central California Alliance for Health; California (MO); Remote; USD 80,000 - 110,000; Full time

Job summary

Join a leading healthcare organization as an Application Analyst III D-SNP Systems, focusing on systems configuration and analysis. This remote role requires expertise in Medicaid/Medicare programs and project management methodologies, ensuring compliance and optimizing data workflows. Be part of a dedicated team committed to quality healthcare.

Benefits

Medical, Dental, Vision

Paid Time Off and Holidays

Retirement and Deferred Compensation Plans

Health and Wellness Programs

Onsite EV Charging Stations

Qualifications

• Experience with core and ancillary systems of the Alliance.
• Knowledge of Application Lifecycle Management and project management methodologies.
• Thorough understanding of Medicaid/Medicare programs and medical terminology.

Responsibilities

• Lead complex systems configuration and analysis for D-SNP systems.
• Conduct analysis of business procedures and perform system configuration.
• Optimize data workflows for compliant data exchanges.

Skills

System integration

Information management

Research

Analysis

Reporting methods

Education

Bachelor's degree in relevant fields

Job description

Application Analyst III D-SNP Systems

Location: Remote in California

Join the Alliance as an Application Analyst III D-SNP Systems in the Application Services Department.

WHAT YOU'LL BE RESPONSIBLE FOR

• Lead and perform complex systems configuration, research, and analysis to support and maintain state policies and procedures for D-SNP systems, including eligibility, enrollment, and CRM integration, ensuring regulatory compliance.
• Conduct analysis of business procedures, perform system configuration, research, and staff training.
• Analyze and optimize data workflows for accurate, timely, and compliant data exchanges with internal and external entities, focusing on operational and regulatory compliance.

ABOUT THE TEAM

The applications we develop and customize enable effective connections among staff, members, and providers, aiming to optimize healthcare delivery and innovate within the healthcare landscape.

THE IDEAL CANDIDATE

• Experience with core and ancillary systems of the Alliance.
• Knowledge of Application Lifecycle Management and project management methodologies.
• Thorough understanding of Medicaid/Medicare programs, product configuration, medical terminology, and diagnostic coding.
• Familiarity with healthcare regulatory policies, data analytics, and legislative processes related to Medicare DSNP and Medi-Cal.
• Some knowledge of Agile/Scrum environments.

WHAT YOU'LL NEED TO BE SUCCESSFUL

• Knowledge of: System integration, information management, research, analysis, and reporting methods.
• Ability to: Analyze and create process maps, translate business requirements into detailed product specifications, and adapt to change.
• Education & Experience: Bachelor's degree in relevant fields with minimum experience requirements, or equivalent combination.

OTHER INFORMATION

• Remote work with potential in-office or community presence based on business needs.
• Interview process conducted remotely via Microsoft Teams.

Compensation

The full range varies by location, with specific zones and salary ranges listed.

OUR BENEFITS

• Medical, Dental, Vision
• Paid Time Off and Holidays
• Retirement and Deferred Compensation Plans
• Health and Wellness Programs
• Onsite EV Charging Stations

ABOUT US

We are a dedicated team of over 500 employees committed to accessible, quality healthcare. Join us at Central California Alliance for Health and be part of a respectful, diverse, and innovative culture.

We are an equal opportunity employer and participate in E-Verify. Currently, we do not sponsor work visas. Applicants must be authorized to work in the U.S. full-time without sponsorship.