Bakersfield Family Medical Group · 1 week ago
Managed Care Systems Analyst 1
Bakersfield, CA
Full-time
Hybrid
Entry Level
$34.84/hr - $40.99/hr
1+ years expBakersfield Family Medical Group is seeking a Managed Care Systems Analyst 1 to maintain the data integrity of the Managed Care System and provide support and training to users. The role involves managing projects, troubleshooting application issues, and serving as a liaison between various departments and vendors.
Elder CareHealth CareHospitalMedicalNursing and Residential CareOutpatient Care
Responsibilities
Provide Support and training to end users on the appropriate modules of the managed care systems and any third-party related systems
Troubleshoot, test, report, track and implement resolution of application specific issues reported by end users
Is the liaison between the Vendor, IT, Director over the managed care system, related third party applications and the end user
Manages projects and participates on teams to ensure integration of managed care system and other department process changes are evaluated and implemented appropriately to maintain data integrity
Recommends and implements system changes and enhancements to improve processes
Updates and maintains master file data in Managed Care systems and related applications
Serves as principal resource in maintaining daily system balancing, data dictionaries, extract logic, request log, master tables, and other system related documentation
Coordinates projects for software updates/ upgrades and testing for the managed care system
Monitors and facilitates data integration with source systems
Troubleshoots file import problems
System specific EDI support for in-loading of data through application module
Act as primary back up for EDI Data Analyst role
Responsible for updating configuration for 837,277 and 835 EDI files as needed
Gather requirements, define, document and analyze business needs under the guidance of the Director of Business Intelligence, and IT
Work with functional team(s) to analyze “as-is” and “to-be” business processes
Development of test plans, testing, training, deployment and support of new development or business system processes
Monitors encounter submissions and reconciliation. Participates in group discussions and meetings as well as researches and implements resolutions for encounter rejections
Other duties as assigned
Qualification
Required
Bachelor's degree in Business Management, Information Systems or related field. Education may be substituted with data analytics, system support or relevant analytical work experience on a year for year basis and will be reviewed individually
At least 1 year of system or application support
Excellent communication skills - ability to tailor communication to audience (technical and non-technical)
Understanding of database structure and principles
Valid CA Driver's License and current vehicle insurance
Preferred
Managed Care / Healthcare Information Systems experience
EDI Claims transaction experience
Ability to develop SQL procedures and scripts
Experience with SQL Server Report Services
Company
Bakersfield Family Medical Group
Bakersfield Family Medical Group sets a standard for excellence in health care provided to our patients in settings that promote wellness and preventive medicine.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Carol Sorrell
Chief Executive Officer
Company data provided by crunchbase