Senior Application PB/HB Claims Analyst - Remote @ Home Health Focus AI | Jobright.ai
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Senior Application PB/HB Claims Analyst - Remote jobs in Minneapolis, MN
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Home Health Focus AI · 20 hours ago

Senior Application PB/HB Claims Analyst - Remote

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Computer Software

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Responsibilities

Utilize expertise to design new and existing applications. Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance.
Proactively initiates and participates in IT workflow definition and monitoring of processes including 1) Incident and Problem Management, 2) IT Service Request and Task Management, 3) Change Control Management and 4) IT Project Management.
Accurately and efficiently works to provide application workflow and functional analysis, build and configuration, unit and integrated testing, and plans for transition to application ongoing support. Understands workflows with the objective to meet business needs.
Effectively unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. Collaborate with the QA team to identify test cases and create/mine test data to enable a thorough test of all deliverables. Respond to all inquiries and issues in a timely manner as the developed code/program moves through the testing process and ultimately into production. Provide implementation/production support as required.
Evaluate and understand dependencies between applications to understand if making a change in one application would have a negative impact in another application. Use knowledge of assigned application(s) to help resolve issues and drive optimal business solutions.
Maintain up-to-date application knowledge and understanding of how the business uses the applications in their workflows. Partner with the business to gather requirements and goals to drive optimal solutions.
Evaluate, troubleshoot and lead root-cause analysis for production issues and system failures; determine corrective action and improvements to prevent recurrence. Provide implementation/production support as required.
Proactively provide subject matter expertise regarding assigned application(s) to other members of the technology and business teams to ensure quality and minimize impact on other applications and business processes.
Coach and mentor staff regarding technology, methodologies and standards. Proactively share knowledge and collaborate with IT teams to ensure quick and effective responses to customer needs. Maintain up-to-date business domain knowledge and technical skills in software development technologies and methodologies.
Pro-actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes.
Provides ongoing operational system support and resolves escalated issues. Interacts with vendors on problem determination, resolution, issue tracking, upgrades and fixes.
Participates in after-hours support as determined by IT Leadership
Patient Centered: Provide services centered on the needs and safety of our patients and families.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

IT application experienceSoftware Development Life-CycleHealthcare processesDatabase structureAnalytical critical thinkingReporting techniquesApplication configurationChange control managementIT project managementCoachingCollaboration skillsMentoring

Required

Bachelor’s degree or combination of education and related work experience
5+ years of IT application experience
Strong understanding of the Software Development Life-Cycle (SDLC)
Demonstrated analytical critical thinking skills for process development or problem resolution
Demonstrated working knowledge and expertise of healthcare processes and application system coordination
Demonstrated knowledge of database structure and working practice of reporting techniques

Benefits

Medical insurance - as low as $0
Dental insurance - also a $0 option
PTO (24 days per year starting)
403B with up to a 6% employer match

Company

Home Health Focus AI

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HomeHealthFocus.ai is an innovative data platform that tracks and analyzes critical information from home care, hospice, and senior living companies across the United States.

Funding

Current Stage
Early Stage
Company data provided by crunchbase
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Orion

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