BMC HealthNet Plan
Jiva Applications Analyst III
BMC HealthNet Plan, Boston, Massachusetts, us, 02298
Job Description
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Applications Analyst III will be responsible for the maintenance and support of our care management and utilization management platform (Jiva) within IT as well as integrated cross functional tools or systems.
Systems Analysis: The Applications Analyst III will be responsible for documentation of high-level and detailed requirements, completing required configurations, and collaborating with key IT and business representatives. The Applications Analyst III is the primary liaison between the business and technical staff.
Maintenance and support: The Applications Analyst III will be responsible for researching and coordinating resolution of incidents impacting Jiva users.
Our Investment in You:
•Full-time remote work
•Competitive salaries
•Excellent benefits
Key Functions/Responsibilities:Serves as the primary liaison between business and technical staffLeads workgroup sessions and works with business users to document and define business requirementsPerforms analysis and provides recommendations for new systems or improvements and redesign of current systemsDocuments functional specifications for system solutions and enhancements to existing systems to ensure business needs are metAnalyzes and evaluates information gathered from multiple sources, reconciles information, and performs gap analysisTransforms high level information into detailed requirementsWorks with internal strategic sourcing, business leaders, as well as external vendors to define business and technical requirementsWorks collaboratively with other internal IT resources such as Application Development and Quality AssuranceResponsible for IT Demand Management requests including requirements gathering and execution managementWorks on medium and large size projectsDeliver lights-on Jiva configuration in the monthly configuration release, including Code Tables, Worklists, Assessments, Letters, and Sentinel RulesTroubleshoot and resolve incidents and drive change requests, both internal and with vendorOther duties as assignedSupervision Exercised:
•N/A
Supervision Received:
•General supervision is received weekly
Qualifications:
Education Required:
•Bachelor's degree (or equivalent work experience) is required.
Education Preferred:
•BA Certificate
•BA Master Certificate
•CBAP Certification
•Bachelor's Degree in Computer Science, Management Information Systems
•Jiva Certification
Experience Required:
General knowledge of CM / UM / A&G IT systems and processes5+ years progressively responsible business and information systems knowledge including eliciting, analyzing, communicating and validating business and system requirements5+ years experience in managed healthcare or insurance operationsExperience with relational database concepts, as well as experience testing and implementing third party applications and toolsExperience Preferred/Desirable:
•N/A
Required Licensure, Certification or Conditions of Employment:
•Successful completion of pre-employment background check
Competencies, Skills, and Attributes:
Working knowledge of MS Office products (Access, Project, Visio, PowerPoint) and SQLKnowledge of all phases of the Systems Development Life Cycle required, with advanced skill and experience in the requirements, specification, testing, and implementation phasesDetail oriented, excellent proof reading and editing skills.Strong analytic skills to conceptualize and envision the impact of change and propose new ways to do businessExcellent communication and interpersonal skills with an ability to lead and direct others in a cross-functional organizationAbility to meet deadlines, multi-task, problem-solve and identify and use appropriate technology to solve business problemsWorking Conditions and Physical Effort:
Ability to work OT during peak periods. (Non-Exempt Positions)Regular and reliable attendance is an essential function of the position.Work is normally performed in a typical interior/office work environment.No or very limited physical effort required. No or very limited exposure to physical risk.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Applications Analyst III will be responsible for the maintenance and support of our care management and utilization management platform (Jiva) within IT as well as integrated cross functional tools or systems.
Systems Analysis: The Applications Analyst III will be responsible for documentation of high-level and detailed requirements, completing required configurations, and collaborating with key IT and business representatives. The Applications Analyst III is the primary liaison between the business and technical staff.
Maintenance and support: The Applications Analyst III will be responsible for researching and coordinating resolution of incidents impacting Jiva users.
Our Investment in You:
•Full-time remote work
•Competitive salaries
•Excellent benefits
Key Functions/Responsibilities:Serves as the primary liaison between business and technical staffLeads workgroup sessions and works with business users to document and define business requirementsPerforms analysis and provides recommendations for new systems or improvements and redesign of current systemsDocuments functional specifications for system solutions and enhancements to existing systems to ensure business needs are metAnalyzes and evaluates information gathered from multiple sources, reconciles information, and performs gap analysisTransforms high level information into detailed requirementsWorks with internal strategic sourcing, business leaders, as well as external vendors to define business and technical requirementsWorks collaboratively with other internal IT resources such as Application Development and Quality AssuranceResponsible for IT Demand Management requests including requirements gathering and execution managementWorks on medium and large size projectsDeliver lights-on Jiva configuration in the monthly configuration release, including Code Tables, Worklists, Assessments, Letters, and Sentinel RulesTroubleshoot and resolve incidents and drive change requests, both internal and with vendorOther duties as assignedSupervision Exercised:
•N/A
Supervision Received:
•General supervision is received weekly
Qualifications:
Education Required:
•Bachelor's degree (or equivalent work experience) is required.
Education Preferred:
•BA Certificate
•BA Master Certificate
•CBAP Certification
•Bachelor's Degree in Computer Science, Management Information Systems
•Jiva Certification
Experience Required:
General knowledge of CM / UM / A&G IT systems and processes5+ years progressively responsible business and information systems knowledge including eliciting, analyzing, communicating and validating business and system requirements5+ years experience in managed healthcare or insurance operationsExperience with relational database concepts, as well as experience testing and implementing third party applications and toolsExperience Preferred/Desirable:
•N/A
Required Licensure, Certification or Conditions of Employment:
•Successful completion of pre-employment background check
Competencies, Skills, and Attributes:
Working knowledge of MS Office products (Access, Project, Visio, PowerPoint) and SQLKnowledge of all phases of the Systems Development Life Cycle required, with advanced skill and experience in the requirements, specification, testing, and implementation phasesDetail oriented, excellent proof reading and editing skills.Strong analytic skills to conceptualize and envision the impact of change and propose new ways to do businessExcellent communication and interpersonal skills with an ability to lead and direct others in a cross-functional organizationAbility to meet deadlines, multi-task, problem-solve and identify and use appropriate technology to solve business problemsWorking Conditions and Physical Effort:
Ability to work OT during peak periods. (Non-Exempt Positions)Regular and reliable attendance is an essential function of the position.Work is normally performed in a typical interior/office work environment.No or very limited physical effort required. No or very limited exposure to physical risk.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees