Care & Utilization Management System Configuration Analyst

Overview

Remote
$95000 - $105000 per annum
Full Time

Skills

Configuration
Care Management
Utilization Management
JIVA
Trizetto
FACETS
MCO
Health Plan
Medicaid
Care Management
T-SQL
SQL
SSRS
Power BI

Job Details



Job Title: Care & Utilization Management System Configuration Analyst - 247102
Position Type: Direct Hire
Work Location: 100% Remote - MUST reside in North Carolina
Compensation: $95,000 - $105,000 / year



ABOUT OUR CLIENT / ABOUT THIS ROLE


Medix is seeking a Care & Utilization Management System Configuration Analyst for a Direct Hire opportunity with one of our Managed Care clients in North Carolina.


This individual will be joining a team, and will be primarily responsible for maintaining and supporting changes to the configurations in the Care & Utilization Management Platform (ZeOmega JIVA).


We are seeking individuals who have 5+ years of experience, and have prior experience configuring CM/UM platforms such as JIVA. Strong experience with SQL (SSIS/ SSRS, Power BI) is also required.



DAY TO DAY RESPONSIBILITIES



  • Serving as an Application Configuration Specialist for a healthcare management software platform - ZeOmega JIVA (similar Care Management / Utilization Management will be considered)

  • Conducting application configuration activities - covering code tables, data management, data migration, business rules, assessments, sentinel rules, alerts, basic report development, user maintenance, data loads, etc

  • Representing the core business functions, processes and workflows for the business units utilizing the healthcare management software

  • Serving as a liaison between business units, vendor support groups, and IT Teams

  • Identifying, gathering and documenting business requirements

  • Reviewing and clarifying user stories and user acceptance criteria, overseeing the software modifications and interface design specifications to support the design and configuration process.

  • Configuring, testing and implementing new workflow processes to support company operations

  • Conducting business process mapping

  • Performing unit and end to end testing and debugging of system changes

  • Designing and developing reporting code using SQL and SSRS, customizing to business requirements.

  • Working across the ZeOmega JIVA platform - including Nurse Portal, Provider Portal, Member Portal


REQUIRED QUALIFICATIONS & TECHNICAL SKILLS



  • MUST reside in the state of North Carolina

  • 5+ years of professional experience

  • Experience with Healthcare Management CORE Administration Software - such as HealthEdge Guiding Care, JIVA (ZeOmega), etc

  • Advanced Microsoft SQL, SSRS and Power BI Reporting experience



For California Applicants:


We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).


This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.