Job Location: Remote
Full Time Remote – Alabama, Full Time Remote – Florida, Full Time Remote – Georgia, Full Time Remote – Maryland, Full Time Remote – Pennsylvania, Full Time Remote – South Carolina, Full Time Remote – Texas, Full Time Remote – Virginia
Utilizing top level functional/technical area knowledge of and global expertise with relevant systems/applications, the incumbent defines, evaluates, and validates requirements, business functional design, and technical design for highly complex and varied business issues with broader enterprise impacts. They act as a strategic liaison representing their department and the processes and workings within it to ensure the development and implementation of comprehensive, efficient technical solutions focused on current and future state needs while minimizing operational and system/application impacts. Proactively consults with the business, IT and/or relevant vendors and focuses on system/application considerations needed for the highly complex problems, highly visible and critical corporate projects with significant impacts or for overall broad system/application assessments.
- Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive technical solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
- Depending on business area needs, may also be the “Superuser” expert for the business unit on a system or application supporting core business processes with added criticality.
- Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
- Identify and quantify the business impact of possible solutions and make appropriate recommendations to the business area supported.
- Coordinate ongoing user support for the most advanced and/or complex ad hoc questions, inquiries, and service requests.
- Lead or coordinate highly advanced data and trend analysis and proactively consults with and provides feedback to business areas and IT in order to ensure ultimate system/application performance
- Mentor and coach less senior staff members to increase system/application knowledge and enhance business consulting abilities on the team as a whole.
- Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by:
- Independently resolve escalations without management involvement.
- Lead the development of system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities
- Leads and directs discussions with the business and IT on projects and initiatives to elicit and document business requirements and prepare appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
- Act as Business Lead/Coordinator on broad, highly complex corporate projects or initiatives.
- Lead the development of testing plans with Business area and IT
- Train/coach others on appropriate testing protocol, execution and test plan creation.
- Coordinate with IT and plan for business area impacts for hardware and software upgrades, security changes, and architectural enhancements as needed.
- Lead the configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments
- Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency
- Coordinate and monitor configuration for accuracy and compliance to change control processes.
- Bachelor’s degree or advanced degree (where required)
- 8+ years of experience in related field.
- In lieu of degree, 10+ years of experience in related field.
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Familiarity with claims
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Familiarity with secondary clinical editors
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Familiarity with auditing systems (i.e., Pareo)
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