Systems Analyst Advisor (92581)
Company Name:
WellPoint-Caremore
Systems Analyst Advisor (92581)
CO , Denver
Job Post Date:
09/14/2014
Employer:
WellPoint, Inc
Benefits:
WellPoint's Benefits
Job Description
Systems Analyst Advisor
This positionmustbe located in Denver, CO
Systems Analyst Advisor will evaluate and analyze the business needs and objective in healthcare industry, including electronic HIPAA transaction guidelines, claim processing, benefit structure, cost sharing structure, and utilization management; translate government rules and regulations (i.e. HIPAA Regulation, ICD-10 Compliance, NPI, Health Care Exchange/Reform) and Blue Association mandates into a feasible technical solution; meet with business owners from different areas to better understand the business processes in order to assess technically feasible options and elicit detailed business requirements and clarifications; participate in all aspects of full software development life cycle utilizing various tools and technology platforms; use Lean IT process to translate business requirements into documents that illustrate the technical solution such as use cases, wireframes, process flow diagrams, etc.; analyze business requirements/gap analysis within healthcare organization and convert to technical documents; evaluate relational databases and write SQL queries; use XML/Web Services and portal technologies to develop integration tier; identify functionalities that needs to be tested and unify cross-functional teams using Rational Suite, including Requisite Pro application; oversee onshore-offshore model execution from vendors; diagnose problems within the application and work with the business to add and/or update the business requirements if the problem arose from a missed requirement; provide training to business users, help desk, etc.; and provide input for the communication materials that the business operation area is sending out to the provider community.
Job Qualifications
Bachelor of Science degree in business administration, computer science, information technology, management information systems, computer system engineering, healthcare, healthcare management or related field (willing to accept foreign education equivalent) as well as 6 years of systems engineering or systems analysis experience or, alternatively, a Masters degree and 4 years of experience as noted above. Experience must include: healthcare industry, including electronic HIPAA transaction guidelines, claim processing, benefit structure, cost sharing structure, and utilization management; translation of government rules and regulations (i.e. HIPAA Regulation, ICD-10 Compliance, NPI, Health Care Exchange/Reform) and Blue Association mandates into a feasible technical solution; full software development life cycle; relational databases and SQL queries, including integration tier using XML/Web Services and portal technologies; business requirements/gap analysis within healthcare organization and conversion to technical documents; and onshore/offshore business model.
Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.
WARNING :Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our web site.Estimated Salary: $20 to $28 per hour based on qualifications.
WellPoint-Caremore
Systems Analyst Advisor (92581)
CO , Denver
Job Post Date:
09/14/2014
Employer:
WellPoint, Inc
Benefits:
WellPoint's Benefits
Job Description
Systems Analyst Advisor
This positionmustbe located in Denver, CO
Systems Analyst Advisor will evaluate and analyze the business needs and objective in healthcare industry, including electronic HIPAA transaction guidelines, claim processing, benefit structure, cost sharing structure, and utilization management; translate government rules and regulations (i.e. HIPAA Regulation, ICD-10 Compliance, NPI, Health Care Exchange/Reform) and Blue Association mandates into a feasible technical solution; meet with business owners from different areas to better understand the business processes in order to assess technically feasible options and elicit detailed business requirements and clarifications; participate in all aspects of full software development life cycle utilizing various tools and technology platforms; use Lean IT process to translate business requirements into documents that illustrate the technical solution such as use cases, wireframes, process flow diagrams, etc.; analyze business requirements/gap analysis within healthcare organization and convert to technical documents; evaluate relational databases and write SQL queries; use XML/Web Services and portal technologies to develop integration tier; identify functionalities that needs to be tested and unify cross-functional teams using Rational Suite, including Requisite Pro application; oversee onshore-offshore model execution from vendors; diagnose problems within the application and work with the business to add and/or update the business requirements if the problem arose from a missed requirement; provide training to business users, help desk, etc.; and provide input for the communication materials that the business operation area is sending out to the provider community.
Job Qualifications
Bachelor of Science degree in business administration, computer science, information technology, management information systems, computer system engineering, healthcare, healthcare management or related field (willing to accept foreign education equivalent) as well as 6 years of systems engineering or systems analysis experience or, alternatively, a Masters degree and 4 years of experience as noted above. Experience must include: healthcare industry, including electronic HIPAA transaction guidelines, claim processing, benefit structure, cost sharing structure, and utilization management; translation of government rules and regulations (i.e. HIPAA Regulation, ICD-10 Compliance, NPI, Health Care Exchange/Reform) and Blue Association mandates into a feasible technical solution; full software development life cycle; relational databases and SQL queries, including integration tier using XML/Web Services and portal technologies; business requirements/gap analysis within healthcare organization and conversion to technical documents; and onshore/offshore business model.
Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.
WARNING :Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our web site.Estimated Salary: $20 to $28 per hour based on qualifications.
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