Application Analyst III D-SNP Systems

We have an opportunity to join the Alliance as a Application Analyst III D-SNP Systems in the Application Services Department. 

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the EDI Manager, this position: 

• Leads and performs complex systems configuration, research, and analysis to support and maintain state policy and procedure for D-SNP systems, including eligibility, enrollment, and Customer Relationship Management (CRM) integration, ensuring alignment with regulatory requirements
• Conducting analysis of Alliance business procedures, performance of low- to high-level complexity systems configuration, conducting related research, and staff training
• Analyzing and optimizing data workflows to ensure accurate, timely, and compliant data exchanges between internal applications, external vendors, state, and federal agencies, with a focus on operational and regulatory compliance

ABOUT THE TEAM

The applications we build, purchase, integrate and customize are what allows the Alliance staff, members, and providers to connect with each other effectively and efficiently in order to optimize health care delivery.  Deploying these tools is just one phase of our ongoing work. We also focus on health care technology innovation in line with the ever-changing health care landscape

THE IDEAL CANDIDATE 

• Experience with Alliance core and ancillary systems
• Experience working with methodologies such as Application Lifecycle Management and various project management methodologies and best practices
• Thorough knowledge of Medicaid/Medicare Programs, the methods of product configuration in a Medicaid/Medicare environment, and the medical terminology, related procedures, and national diagnostic coding
• Working knowledge of health care regulatory policies, principles of health care planning and administration, health care data analytics, State and Federal Legislative processes, Medicare DSNP and Medi-Cal
• Some knowledge of Agile/Scrum development environments

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
• the principles and practices of technical/technology implementation processes, including the integration of systems and the application of information management
• research, analysis, reporting methods, performance metrics and statistics
• Medicaid/Medicare Program, the methods of product configuration in a Medicaid/Medicare environment, and medical terminology, related procedures, and national diagnostic coding
• Ability to:
  • analyze and write process maps, work instructions, and documentation
  • translate business requirements into detailed product requirements
  • demonstrate flexibility and creativity and to effectively adapt to change
• Education and Experience:
  • Bachelor’s degree in Business Administration, Health Care, Information Technology, Information Science, or a related field and a minimum of five years (or a Master’s degree and three years) of D-SNP product configuration experience which included some experience related to staff training and a minimum of three years of experience in a managed health care environment; or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area

Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area

OUR BENEFITS 

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical, Dental and Vision Plans
• Ample Paid Time Off 
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. 

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.