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WellSense Health Planposted 7 months ago
Full-time • Mid Level
Remote • Boston, MA
10,001+ employees
Resume Match Score

About the position

The Applications Analyst III at WellSense Health Plan is responsible for the maintenance and support of the Jiva care management and utilization management platform, serving as the primary liaison between business and technical staff. This role involves documenting requirements, configuring systems, and collaborating with various stakeholders to ensure effective system solutions and enhancements. The analyst will also troubleshoot incidents and drive change requests, contributing to the overall improvement of IT systems within the organization.

Responsibilities

  • Serve as the primary liaison between business and technical staff.
  • Lead workgroup sessions and work with business users to document and define business requirements.
  • Perform analysis and provide recommendations for new systems or improvements and redesign of current systems.
  • Document functional specifications for system solutions and enhancements to existing systems to ensure business needs are met.
  • Analyze and evaluate information gathered from multiple sources, reconcile information, and perform gap analysis.
  • Transform high-level information into detailed requirements.
  • Work with internal strategic sourcing, business leaders, and external vendors to define business and technical requirements.
  • Collaborate with other internal IT resources such as Application Development and Quality Assurance.
  • Manage IT Demand Management requests including requirements gathering and execution management.
  • Deliver Jiva configuration in the monthly configuration release, including Code Tables, Worklists, Assessments, Letters, and Sentinel Rules.
  • Troubleshoot and resolve incidents and drive change requests, both internal and with vendors.

Requirements

  • Bachelor's degree in Computer Science, Management Information Systems, or equivalent work experience.
  • 5+ years of progressively responsible business and information systems knowledge including eliciting, analyzing, communicating, and validating business and system requirements.
  • 5+ years of experience in managed healthcare or insurance operations.
  • General knowledge of CM / UM / A&G IT systems and processes.
  • Experience with relational database concepts, as well as experience testing and implementing third-party applications and tools.
  • Working knowledge of MS Office products (Access, Project, Visio, PowerPoint) and SQL.
  • Knowledge of all phases of the Systems Development Life Cycle, with advanced skill and experience in the requirements, specification, testing, and implementation phases.

Benefits

  • Full-time remote work
  • Competitive salaries
  • Excellent benefits
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