Application Modernization Analyst

Jobtailor; Stockton (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Jobtailor seeks a capable support specialist to maintain and enhance the Mphasis Javelina platform, handling claims processing tasks and associated reporting. You will troubleshoot production issues, assist with AS400 modernization using C#/.NET, and ensure accurate data validation across healthcare processes.

Ideal candidates have strong SQL skills, experience with healthcare payer systems, and a track record of documenting procedures and runbooks.

Qualifications

• Experience supporting healthcare operations, claims administration, health plan, payer, or TPA systems.
• Experience with Mphasis Javelina or a comparable claims administration platform strongly preferred.
• Working knowledge of claims processing, accumulators, ID cards, EOBs, reporting, and vendor file processes.
• Strong SQL and database skills.
• Experience supporting reporting, data validation, and operational workflows.
• Experience with AS400 systems, C#/.NET applications, or legacy application modernization.
• Strong analytical and troubleshooting skills.
• Experience developing technical documentation, operational procedures, and troubleshooting guides.

Responsibilities

• Provide ongoing technical and operational support for the Mphasis Javelina platform and related processes.
• Troubleshoot system, data, file, and production issues and coordinate resolutions with internal teams and external vendors.
• Support modernization and deployment of legacy AS400 and finance apps using C#/.NET.
• Support healthcare reporting and file processes including CMS reporting and Anthem-related files.
• Identify opportunities to automate manual reporting, data processing, and recurring operational activities.
• Maintain centralized repository of reporting SQL queries with governance standards.
• Create and maintain technical documentation, runbooks, and knowledge resources.
• Partner with business users, operations, IT, and vendors to implement improvements.

Skills

SQL

C#/.NET

AS400

Claims Processing

Data Validation

Operational Workflows

Reporting

Automation

Troubleshooting

Analytical Skills

Communication Skills

Organizational Skills

Collaboration

Problem-Solving

Tools

Mphasis Javelina

SharePoint

Healthcare EDI Transactions

Data Integrations

Vendor File Processes

Job description

• Provide ongoing technical and operational support for the Mphasis Javelina platform, including ID cards, EOBs, accumulator data loads, historical claims data loads, and related processes
• Troubleshoot system, data, file, and production issues and coordinate resolutions with internal teams and external vendors
• Support modernization, conversion, enhancement, testing, validation, and deployment of legacy AS400 and finance applications using C#/.NET
• Support recurring healthcare reporting and file processes, including CMS Mandatory Reporting, Limited Liability Reporting, Anthem Dual Coverage files, and other operational reporting
• Identify opportunities to automate manual reporting, data processing, validation, and recurring operational activities
• Support accumulator and claims data conversions for new group implementations, including validation and reconciliation
• Maintain a centralized repository of reporting and operational SQL queries with documentation and governance standards
• Develop technical and operational documentation, process flows, business rules, dependencies, validation procedures, troubleshooting steps, and escalation procedures
• Create and maintain operational runbooks and knowledge resources
• Partner with business users, operations, IT, and vendors to understand requirements, resolve issues, and implement process and system improvements

Requirements

• Experience supporting healthcare operations, claims administration, health plan, payer, or TPA systems
• Experience with Mphasis Javelina or a comparable claims administration platform strongly preferred
• Working knowledge of claims processing, accumulators, ID cards, EOBs, reporting, and vendor file processes
• Strong SQL and database skills
• Experience supporting reporting, data validation, and operational workflows
• Experience with AS400 systems, C#/.NET applications, or legacy application modernization
• Strong analytical and troubleshooting skills
• Experience developing technical documentation, operational procedures, and troubleshooting guides
• Strong communication and organizational skills
• Ability to work effectively across technical and non-technical teams
• Ability to independently manage day-to-day support responsibilities while contributing to modernization initiatives
• Familiarity with CMS reporting and healthcare regulatory reporting processes preferred
• Knowledge of healthcare EDI transactions, data integrations, and vendor file processes preferred
• Experience with SharePoint or similar repositories preferred
• Experience automating recurring reporting, file processing, or operational workflows preferred

Core Competencies

Demonstrates expertise in supporting healthcare operations and claims administration, with strong skills in SQL, C#/.NET, and AS400 systems. Capable of developing technical documentation and automating operational workflows while effectively collaborating with cross-functional teams.

Highest-signal resume keywords

• Healthcare Operations Support
• SQL Database Skills
• C#/.NET Application Development
• Claims Processing Knowledge
• Technical Documentation Development

ATS Optimization Keywords

Hard Skills

• SQL
• C#
• .NET
• AS400
• Claims Processing
• Data Validation
• Operational Workflows
• Reporting
• Automation
• Troubleshooting

Soft Skills

• Analytical Skills
• Communication Skills
• Organizational Skills
• Collaboration
• Problem-Solving

Industry Keywords

• Healthcare Reporting
• Claims Administration
• Payer Systems
• CMS Reporting
• Vendor File Processes

Tools & Technologies

• Mphasis Javelina
• SharePoint
• Healthcare EDI Transactions
• Data Integrations
• Operational Runbooks