System Configuration Analyst *Remote

Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling a System Configuration Analyst who will:

• Be responsible for the oversight and configuration of all applicable clinical information systems (CareAdvance, CareAdvanceProvider) used within the Care Management and Medical Management departments

• Work closely with the Information Services (IS) and Engineering departments to assess & optimize system functionality through root-cause analysis

• Identify long-term fixes for data, file extract, workflow, display, application environments, quality testing, and data migration issues

• Maintain a working knowledge of other interfaced claims, data, application environments, and information systems used in the Health Plan (e.g. Facets, CES, CIM, JAMA, etc.)

• Be responsible for configuration and testing of letters, assessments, queues, forms, questionnaires, etc., to support the operational components of CM and UM reviews

• Be responsible for all CareAdvance Provider portal configuration and provider training and adoption

• Directly support all HCPCs/CPT coding configuration requests to support over 400 Plan policies

• Support all JAMA related change-request forms, prior-authorization and non-covered lists, Provider Alerts and their prospective publication will be the responsibility of this analyst

• Collaborate and communicate the business needs of the department at both clinical and technical levels to our business partners (e.g. Cognizant), both internal and external clinical staff (e.g. Nurses, Physicians, Pharmacists), the Clinical Analytics team, Information Services (IS) staff (e.g. Business Analysts, Developers, Programmers, Engineers) and other departments within the Health Plan

• Be responsible for attending a variety of committee meetings to assess changes that will impact the system applications (down-times, upgrades, new groups/lines of business, etc.) as well as represent the HCS department

• Be the point of contact for PHP business Partners, both internal and external, as they relate to the claims and documentation systems used within the respective departments

• Be the technical content expert for upgrades, system implementations, and optimization work within HCS

We welcome 100% remote work for residents who reside in one of the following States:

• Washington

• Oregon

• California

Required qualifications for this position include:

• Bachelor's Degree in Business, Health Administration, IT (with emphasis on Health Information Systems) -OR- a combination of equivalent education and experience

• 2 years of healthcare experience

Preferred qualifications for this position include:

• 1 years of configuration analyst, business analyst or equivalent experience

• Experience with Clinical and Care Management systems such as Change Healthcare Interqual Connect, Cognizant CareAdvance Enterprise Suite (CCA/CAP), Trizetto Facets, Trizetto Communication System (TCS)

• Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience

• Experience with electronic medical records including Epic

• Experience with project management methodologies including resource planning, scheduling, development of necessary documentation including definition of support requirements and migration plan and testing

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 246011
Company: Providence Jobs
Job Category: Member Services Enrollment & Billing
Job Function: Health Plans Services
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 5018 HCS MEDICAL MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $30.48 - $49.21
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.