Job Description

To be successful in this role, you:

• Have minimum 7 years’ experience in healthcare, preferably in the Health Plan business processes and business/systems analysis.
• Possess the capability to convert business requirements into effective solutions and collaborate with technical teams to ensure successful execution and delivery.
• Have experience in managing IS&T project life cycles using Project management tools such as Jira, Azure Devops, Monday or similar.
• Have experience in learning and translating existing business processes and complex workflows to deliver metrics and insights with real-time visibility.
• Have experience in business requirement gathering and translation into functional and technical specifications with documentation.
• Have hands-on experience with visual analytics tools like Tableau and Power BI, and working knowledge of Visio, Microsoft Project, and Microsoft Office applications.

Essential functions and Roles and Responsibilities:

• Oversee day-to-day application performance related to workflow, data interface and system issues. Conduct issue triage and collaborate with CSS team, platform vendors, and end users to resolve issues or defects.
• Ensure successful data transfers, data integrations and data integrity; conduct data validation activities. Collaborate closely with Data Engineering and Data Governance teams.
• Lead activities related to maintenance of integrations with internal and external systems or 3rd party applications.
• Develop and execute user acceptance testing plans, including test cases development.
• Support CSS team in responding to reporting requests.
• Lead and conduct release planning and deployment activities including writing release notes.
• Partner with other technical teams in IT to facilitate delivery of projects where the project cannot be completed independently. Act as a liaison and project manager between business and technical units to ensure accurate and timely delivery.
• Conduct impact analysis for new projects, workflows, or features. Implement mitigation activities at the direction of the Manager.
• Act as a technical consultant and trainer for internal teams.
• Partner with CSS team and CS trainer to contribute technical specification to training materials as needed.
• Provide mentorship and training to junior team members by promoting best practices and continuous improvement.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:

• Knowledge of tracking and analyzing the performance and resource utilization of enterprise systems.
• Knowledge of Agile/Scrum software development methodology preferred.
• Knowledge of data modeling, MSSQL and/or Python for ad-hoc analysis, and cloud and native data warehouse systems such as Snowflake, Azure SQL, Redshift, or similar.
• Knowledge of project management industry standards/best practices.
• Analytical skills.
• Ability to communicate effectively at all levels of the organization including Senior level staff, external vendors, and external clinic staff both verbally and in writing.
• Ability to create process documentation to include process flow charts and written documentation.
• Ability to write clear user stories and acceptance criteria to support applications development.
• Ability to read and write basic SQL statements.

As part of our hiring process, the following criteria must be met:

• Complete and successfully pass a criminal background check.

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.

• Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:

The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 69 and has a 10% annual incentive target based on company, department, and individual performance goals.

CHPW offers the following benefits for Full and Part-time employees and their dependents:

• Medical, Prescription, Dental, and Vision
• Telehealth app
• Flexible Spending Accounts, Health Savings Accounts
• Basic Life AD&D, Short and Long-Term Disability
• Voluntary Life, Critical Care, and Long-Term Care Insurance
• 401(k) Retirement and generous employer match
• Employee Assistance Program and Mental Fitness app
• Financial Coaching, Identity Theft Protection
• Time off including PTO accrual starting at 17 days per year.
• 40 hours Community Service volunteer time
• 10 standard holidays, 2 floating holidays
• Compassion time off, jury duty pay.

Sensory/Physical/Mental Requirements:

Sensory*

• Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*

• Extended periods of sitting, computer use, talking and possibly standing.
• Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion.
• Frequent torso/back static position; occasional stooping, bending, and twisting.
• Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.

Mental

• Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.