- Collaborate with Provider Enrollment team in evaluating and performing system impact analysis for specific data requests involving changes to provider records
- Extract and review Provider Enrollment File (PEF) data
- Create queries to extract provider data setup information
- Transform data extractions for use in batch loader and/or reporting processes
- Provide additional support to Provider Enrollment when troubleshooting any potential provider setup issues resulting in corrections to provider record(s)
- Develop tools to promote efficiencies in the management of provider data
- Perform ongoing analysis and comparison of fee schedule data against the claims payment system to determine applicable updates
- Prepare batch loaders for large volume data updates
- Collaborate with Provider Enrollment management in the implementation of new business requirements
- Develop and assess Workflow design/process mapping
- Generate regular/ad hoc data reports
- Communicate project components and needs to cross-functional team members and management through documentation and presentations
- Collaborate with Provider Enrollment in creating test scenarios and reviewing those test results that impact a change in configuration of provider data
- Ensure consistency between development, UAT, and production environments for provider configuration
- Effective time management and meeting deadlines
- Process rigor, analytic ability, and the ability to manage multiple priorities and action items
- Excellent interpersonal, consultative and communication skills
- Adaptable and capable of working in fast-paced environments
- Strong facilitation skills
- Critical thinking and problem-solving
- Ability to work in a self-directed manner, be responsive to multiple requests, be organized, and be able to prioritize and respond to requests within requested timelines
- Knowledgeable of staff activities, policies and procedures, and routine office practices
- Attention to detail and a high level of accuracy
- Ability to clearly articulate information with others and apply it to the organization's objectives and goals.
- Excellent computer skills, with proficiency in Microsoft Office Suite, SQL, and Power Query, and experience creating documents, forms, and graphs
- Preferred PowerShell experience, but not required
- Understanding of database concepts, information models, and ETL methodologies is critical
- Experience in payor industry and understanding of core business functional blocks
- Prior Experience in SQL
- Experience in project management processes and system development lifecycles (SDLC)
- Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
- Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
- Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
- Mental concentration is required in all aspects of work.
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Application Systems Analyst Ii
2 weeks ago
Johns Hopkins Health Plans Hanover, United States**_Who you are:_** · **_What you'll do:_** · - Within assigned areas of responsibility and mínimal supervision, collaborates independently with business and technical resources to identify, analyze, prioritize, and resolve system issues · - You'll also advise business and technic ...
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Application Systems Analyst Iii
1 week ago
Johns Hopkins Health Plans Hanover, United StatesJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. **YOU belong here.** · **_What awaits you: _** · - Work- ...
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Systems Analyst
2 weeks ago
NR Consulting Wilmington, United StatesTitle: Systems Analyst · Location: Raleigh, NC (Remote) · Position Type: Contract with possible extension · Duration: 6+ Months · Short Description: · Needs a Systems Analyst to provide technical, educational, and developmental support to users of computers and related IT equ ...
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Systems Analyst
2 weeks ago
Vaya Health Wilmington, United StatesLOCATION: Remote – This is a home based, virtual position. Vaya Health operates on US Eastern Standard time within the hours of 8:30am-5:00pm EST. We welcome applications from the following states: NC, SC, GA, TN, VA, MD, and FL. · GENERAL STATEMENT OF JOB · The Systems Analyst ...
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Business Systems Analyst
2 weeks ago
DTLR Hanover, United StatesCome work for us · We are looking for dedicated employees to join our team to help our customers have the best experience possible every time they enter a DTLR store. · Our employees are key to our success. · POSITION SUMMARY: · We are looking for Business Systems Analyst to ...
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Business Systems Analyst
3 weeks ago
DTLR Hanover, United States Full timeCome work for us · We are looking for dedicated employees to join our team to help our customers have the best experience possible every time they enter a DTLR store. · Our employees are key to our success. · POSITION SUMMARY: · We are looking for Business Systems Analyst to b ...
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Business Systems Analyst
6 days ago
City of Wilmington, NC Wilmington, United StatesLocation : 929 N. Front Street, NC · Job Type: Full Time-Regular · Job Number: · Department: Information Technology · Division: IT · Opening Date: 05/07/2024 · Closing Date: Continuous · Post-Offer Required Pre-Employment Screenings: Driving History Check · Criminal Histo ...
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Application Systems Analyst
3 weeks ago
Johns Hopkins Medicine Hanover, United States Full timeJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. · What awaits you: · Work-life balanc ...
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Workday HRIS Systems Analyst
3 weeks ago
RemX | The Workforce Experts Hanover, United StatesWORKDAY HRIS SYSTEM ANALYST- HYBRID FANTASTIC COMPANY · We are looking for an HRIS candidate who specializes in Workday and has 2-3+ years of experience with this platform. · Responsibilities: · Team player and collaborative a must · Configurations · Handle project management · G ...
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Application Systems Analyst II
2 weeks ago
Johns Hopkins Medicine Hanover, United States· Share This Page Job Details · Requisition #: · Location: Johns Hopkins Health Plans, · Hanover, · MD 21076 · Category: Information Technology · Schedule: Day Shift · Who you are: · As an Applications System Analyst for Johns Hopkins Health Plans, you will be a go-to subj ...
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Application Systems Analyst II
2 weeks ago
Johns Hopkins HealthCare Hanover, United StatesWho you are: · As an Applications System Analyst for Johns Hopkins Health Plans, you will be a go-to subject matter expert for our most mission critical member and provider centric applications and solutions. You will leverage your SQL query writing, SSIS package creation, Team ...
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Provider Enrollment Systems Analyst
2 weeks ago
Vaya Health Wilmington, United StatesLOCATION: · Remote – This is a home based, virtual position that operates on US Eastern Standard Time within the hours of 8:30am-5:00pm. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. · GENERAL STATEMENT OF JOB · The primary purpose of this role is to p ...
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Application Systems Analyst II
5 days ago
Johns Hopkins Medicine Hanover, United StatesShare This Page · Job Details · Requisition #: · 625900 · Location: · Johns Hopkins Health Plans, · Hanover, · MD 21076 · Category: · Information Technology · Schedule: · Day Shift · Who you are: · As an Applications System Analyst for Johns Hopkins Health Plans, you wil ...
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Application Systems Analyst II
1 week ago
Johns Hopkins Medicine Hanover, United StatesApply · Refer a Friend · Back · Share This PageShare on Facebook · Share on Twitter · Share on LinkedIn · Share via Email · Job Details · Requisition #: · Location: Johns Hopkins Health Plans, · Hanover, · MD 21076 · Category: Information Technology · Schedule: Day Shift ...
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Senior Financial Systems Analyst
1 week ago
Suburban Propane Hanover, United States Regular Full timeOverview · When you join Suburban Propane, you become a part of a fast-paced and dynamic company that has been serving its employees and customers for 95 years. We have an excellent opportunity for a Sr. Financial Systems Analyst to be located at our Whippany, NJ headquarters. · ...
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Applications Systems Analyst II
6 days ago
State of North Carolina Wilmington, United StatesSalary: $75, $113,721.00 Annually · Location : Wake County, NC · Job Type: Permanent Full-Time · Job Number: · Department: State Bureau of Investigation · Division: SBI Office of the Director · Opening Date: 05/20/2024 · Closing Date: 6/2/2024 5:00 PM Eastern · Job Class ...
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Business Systems Analyst II
2 days ago
State of North Carolina Wilmington, United StatesSalary: $ $46.17 Hourly · Location : Wake County, NC · Job Type: Temporary Full-Time · Job Number: 23209 · Department: Office of State Human Resources · Division: Temporary Solutions · Opening Date: 05/24/2024 · Closing Date: 6/13/2024 5:00 PM Eastern · Job Class Title: B ...
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Enrollment Systems and Data Analyst
5 days ago
InsideHigherEd Hanover, United States Administrative Jobs ,Posting date:05/08/2024 · Open Until Filled:Yes · Position Number:1128843 · Position Title:Enrollment Systems and Data Analyst · Department this Position Reports to:Guarini School of Graduate and Advanced Studies · Hiring Range Minimum:$65,000 · Hiring Range Maximum:$75,000 · Uni ...
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Application Systems Analyst II
3 weeks ago
Johns Hopkins Medicine Hanover, United States Full timeWho you are: · As an Applications System Analyst for Johns Hopkins Health Plans, you will be a go-to subject matter expert for our most mission critical member and provider centric applications and solutions. You will leverage your SQL query writing, SSIS package creation, Team F ...
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Application Systems Analyst III
3 weeks ago
Johns Hopkins Medicine Hanover, United Statesis a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. · What awaits you: · Work-life balance - This is a remote ro ...
Provider Enrollment Systems Analyst - Wilmington, United States - Vaya Health
Description
LOCATION: Remote – This is a home based, virtual position that operates on US Eastern Standard Time within the hours of 8:30am-5:00pm. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.GENERAL STATEMENT OF JOB
The primary purpose of this role is to provide Provider Enrollment daily, technical, and analytical support for complex rate and contract configuration to ensure Vaya meets all service level agreements set forth by governing authorities. The Provider Enrollment Systems Analyst will evaluate and conduct analyses using a variety of tools and mechanisms to make recommendations for provider data configuration changes/updates in Vaya's claims payment systems. The position will work collaboratively across various business units to develop and clearly communicate to internal stakeholders, facilitators, and partners, strategies, and automation opportunities to maximize efficiencies for loading diverse types of provider data. The position is expected to leverage business analysis techniques, to gather, document, and communicate requirements for transmission between technical teams and business units.
ESSENTIAL JOB FUNCTIONS
System Performance Management:
KNOWLEDGE OF JOB
Bachelor's degree required, preferably in Computer Information Systems, Business Administration, or related analytical field. Must have 2 years of Business Analyst experience and/or 5 years of experience in a related field.
Preferred Work Experience:
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open until filled.
APPLY: Vaya Health accepts online applications in our Career Center, please visit
Vaya Health is an equal opportunity employer.
Provider Enrollment Systems Analyst professionals in Wilmington
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Angelica Franchini-Cutcher
Results Driven and Strategic Thinking Nurse Leader