Current jobs related to Sr Systems Analyst - Philadelphia - Veradigm

  • Sr Systems Programmer Analyst

    4 weeks ago

    Philadelphia, United States Brown Brothers Harriman Full time

    At BBH we value diverse backgrounds, so if your experience looks a little different from what we've outlined and you think you can bring value to the role, we will still welcome your application! What You Can Expect At BBH: If you join BBH you will find a collaborative environment that enables you to step outside your role to add value wherever you can. You...

  • Sr. Inter-Plan Business Systems Analyst

    3 months ago

    Philadelphia, United States iSoftTek Solutions Inc Full time

    Job DescriptionJob DescriptionSr. Inter-Plan Business Systems AnalystLocation: Philadelphia, PA (Hybrid – 3 days/week from office)Duration: 08 monthYears of exp: 6+DescriptionClaims Operations is hiring a Sr. Inter-Plan Business Systems Analyst to join our Shared Services BlueCard and Operations Support Team. This professional will be responsible for...

  • Business Systems Analyst

    2 months ago

    Philadelphia, United States Innovative Systems Group Full time

    We are NOT able to consider c2c for this position.This position is a 5 month contract position with our direct client (Possible extensions). This position is hybrid and requires being in the office Tuesday, Wednesday, and Thursday. Gathering and documenting business requirements for new systems or system enhancements.Analyzing existing business processes and...

  • Business Systems Analyst

    1 week ago

    Philadelphia, Pennsylvania, United States Open Systems Technologies Full time

    Job Opportunity for Business Systems Analyst at Open Systems TechnologiesAbout the Role:The Data Warehouse team at Open Systems Technologies is seeking a highly skilled Business Systems Analyst with expertise in data warehousing and SQL. As a Business Systems Analyst, you will play a crucial role in creating Business Requirement Documents, Functional...

  • Business Systems Analyst

    5 days ago

    Philadelphia, Pennsylvania, United States Open Systems Technologies Full time

    Business Systems Analyst - Data Warehouse ExpertWe are seeking a highly skilled Business Systems Analyst with expertise in Data Warehouse to join our team at Open Systems Technologies.The ideal candidate will have extensive experience in creating Business Requirement Documents, Functional Requirement Documents, and Mapping documents for the development of...

  • Business Systems Analyst

    4 months ago

    Philadelphia, United States Open Systems Technologies Full time

    A direct client of our located in Philadelphia, PA has multiple openings for Business Systems Analysts with Datawarehouse experience. This is a hybrid role onsite 2-3 days a week.The client's Data Warehouse team requires experience in creating Business Requirement Documents, Functional Requirement Documents and Mapping documents for the development of ETL...

  • Business Systems Analyst

    4 months ago

    Philadelphia, United States Open Systems Technologies Full time

    A direct client of our located in Philadelphia, PA has multiple openings for Business Systems Analysts with Datawarehouse experience. This is a hybrid role onsite 2-3 days a week.The client's Data Warehouse team requires experience in creating Business Requirement Documents, Functional Requirement Documents and Mapping documents for the development of ETL...

  • Business Systems Analyst

    5 hours ago

    philadelphia, United States Open Systems Technologies Full time

    A direct client of our located in Philadelphia, PA has multiple openings for Business Systems Analysts with Datawarehouse experience. This is a hybrid role onsite 2-3 days a week.The client's Data Warehouse team requires experience in creating Business Requirement Documents, Functional Requirement Documents and Mapping documents for the development of ETL...

  • Senior Business Systems Analyst

    4 days ago

    Philadelphia, Pennsylvania, United States Goddard Systems, Inc. Full time

    About the RoleWe are seeking a highly skilled Senior Business Systems Analyst to join our corporate team at Goddard Systems, LLC (GSL). As a key member of our team, you will play a critical role in providing strategic business analysis services to our business partners.Key ResponsibilitiesReview and analyze business processes to identify operational,...

  • Senior Systems Programmer Analyst

    2 days ago

    Philadelphia, Pennsylvania, United States Brown Brothers Harriman Full time

    About the RoleWe are seeking a highly skilled Sr. Systems Programmer Analyst to join our team at Brown Brothers Harriman. As a key member of our application development team, you will be responsible for designing, coding, testing, and implementing application programs that support our business needs.Key ResponsibilitiesProgramming: Develop high-quality code...

  • Systems Analyst

    3 weeks ago

    Philadelphia, Pennsylvania, United States Storage Strategies Inc Full time

    Job Title: Systems AnalystWe are seeking a skilled Systems Analyst to join our team at Storage Strategies Inc. in Philadelphia, PA. As a key member of our team, you will provide technical support services and systems analysis to our clients.Key Responsibilities:Offer technical administration and operations business support services to various departments...

  • Sr. Analyst, Programming

    4 weeks ago

    Philadelphia, United States Comcast Full time

    Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wide range of locations and disciplines. We are at the forefront of change and...

  • Business Systems Analyst

    2 hours ago

    philadelphia, United States IntePros Full time

    **MUST BE LOCAL TO PHILADELPHIA, PA**IntePros is seeking a Business Systems Analyst for one of our client's, a leader in the health insurance industry here in the Greater Philadelphia market place. This role does have onsite requirements in Philadelphia, PA.Business Systems Analyst Overview:Looking for a Business Systems Analyst that is very confident and...

  • Business Systems Analyst

    2 weeks ago

    Philadelphia, United States IntePros Full time

    **MUST BE LOCAL TO PHILADELPHIA, PA**IntePros is seeking a Business Systems Analyst for one of our client's, a leader in the health insurance industry here in the Greater Philadelphia market place. This role does have onsite requirements in Philadelphia, PA.Business Systems Analyst Overview:Looking for a Business Systems Analyst that is very confident and...

  • Business Systems Analyst

    2 weeks ago

    Philadelphia, United States IntePros Full time

    **MUST BE LOCAL TO PHILADELPHIA, PA**IntePros is seeking a Business Systems Analyst for one of our client's, a leader in the health insurance industry here in the Greater Philadelphia market place. This role does have onsite requirements in Philadelphia, PA.Business Systems Analyst Overview:Looking for a Business Systems Analyst that is very confident and...

  • Business Systems Analyst

    3 weeks ago

    Philadelphia, Pennsylvania, United States CyberTec Full time

    # Business Systems Analyst - Citizen Only - 3 OpeningsCyberTec Location: Hybrid Work Environment Duration: 12+ months VISA:Citizen Only NO: OPT, H4, GC, H1 Essential Qualifications: Experience in Group Life Insurance Proficiency in SQL/Data Analysis Familiarity with MS Office Suite - including diagramming tools Preference for candidates with a strong...

  • SR FINANCIAL ANALYST

    2 days ago

    Philadelphia, United States Temple University Full time

    Sr. Financial Analyst plays a critical role in ensuring accurate and timely reporting of business performance, as well as thorough and robust financial forecasts. Position demands a high level of attention to detail, strong analytical and critical thinking ability, and excellent communication skills. This individual will act as a key decision support...

  • Systems Analyst II

    4 weeks ago

    Philadelphia, United States Damco Solutions Full time

    Systems Analyst II Requirement: This Systems Analyst I expect to be more senior and have 4-5+ years experience as systems admin, help desk/application support, monitoring, performance reporting, and issue resolution/management. Expected skills include: Previous Application Monitoring and Production Support Experience for Software Systems Required Desired:-...

  • Business Systems Analyst

    2 days ago

    Philadelphia, Pennsylvania, United States Innova Solutions Full time

    Job Title: Business Systems AnalystWe are seeking a highly skilled Business Systems Analyst to join our team at Innova Solutions. As a Business Systems Analyst, you will play a critical role in formulating and defining scope, requirements, and objectives based on user needs and thorough understanding of business processes.Key Responsibilities:Formulate and...

  • Data Analyst

    4 days ago

    Philadelphia, Pennsylvania, United States Ohm Systems, Inc Full time

    About the RoleWe are seeking a detail-oriented Data Analyst to join our team at Ohm Systems, Inc. for a temporary assignment. The ideal candidate will have at least 3 years of experience in data analysis, strong analytical and SQL skills, and proficiency in Microsoft Excel and data manipulation tools.Key ResponsibilitiesGather and preprocess data from...

Sr Systems Analyst

4 months ago

Philadelphia, United States Veradigm Full time

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today's healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.

Veradigm Payer

Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.

Solutions from Veradigm Payers:

  • Deliver insights to drive quality outcomes cost-effectively
  • Improve efficiency for themselves, their providers, and their members through high-speed clinical data exchange
  • Impact point-of-care decision making positively by integrating payer guidance and prior authorization management directly in each healthcare provider's existing workflow
What's cool about working for Veradigm? We're a close-knit team of Healthcare and Technology experts dedicated to helping people live longer, healthier lives. You'll get to help us design and build innovative solutions from the ground up and have the opportunity to do lots of interesting things in an entrepreneurial culture. We offer competitive benefits and much, much more

Job Summary

The Sr Systems Analyst specialist works primarily with enterprise customers of Veradigm Comprehensive Submissions Encounter Management Platform, proactively assisting them with post- sales installation, configuration, upgrade, troubleshooting and day to day operational management. Responsibilities include taking a proactive leadership role working with the Engineering team and Customers to triage and resolve highly complex, technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Veradigm Comprehensive Submissions Encounter Management Platform. In addition to working with customers, the analyst will routinely partner with our Development, Sustaining Engineering and Sales Engineering organizations to resolve support issues, document bugs, provide UAT on product builds, and ensure that new and newly upgraded server installations are successful.

This is a remote role.

What you will contribute:
  • Support encounter data reporting processes for EDPS, and the EDGE server, including tracking, reporting, and resolving rejections.
  • Conduct gap analysis and data validation, identifying possible issues in data submission and determining financial impact.
  • Analyze and reconcile claims and encounter data which will include 837 EDI encounter files for EDPS, and Edge Server submission files.
  • Perform research in the encounter management system and liaison with the CSSC Helpdesk for exception resolution.
  • Be comfortable with raw data files in their native format and accessing these through various servers.
  • Provide technical support to enterprise clients related to technical and operational aspects of the products.
  • Partner with Product Support Engineers and development teams as necessary
  • Assist development team with performance analysis and testing during release cycles for service packs, hot fixes etc.
  • Answer email and phone requests for help from customers
  • Collaborate in virtual teamwork with other Product Support staff
  • Host online troubleshooting and investigation sessions on customer's production environments
  • Deliver a consistent, responsive and satisfying customer experience with each contact
  • Collect all necessary problem details from customers to be able to effectively see the problem to resolution
  • Successfully reproduce customer issues in a controlled test environment
  • Follow standard operational procedures for case management
  • Continuously improve troubleshooting skills, product expertise, and knowledge on related technical topics
  • Update knowledge base / create reusable documents, originating from patterns observed during customer issue troubleshooting
  • Perform ACA and MA Submissions for Clients
  • Understand and keep track of CMS model changes which details about eligible Risk Adjustment codes (diagnosis, CPT, HCPCS, etc.,) for submissions.
  • Review and understand periodic CMS software releases which impact both the ACA and MA submissions.
  • Understand EDPS filtering logic which CMS uses for Risk Adjustment and/or Risk Score calculations.
  • Monitor CMS data submission deadlines for both MA and ACA lines of business.
The ideal candidate will have:

Academic and Professional Qualifications:
•Bachelor's Degree in Health IT/Informatics/Management Information Systems or related field required

Experience:
  • 5+ years of professional experience in Risk Adjustment data management
  • Understanding of claims data, encounter response files, 837 EDI encounter files, EDGE/MA billing & business rules as well as MA filtering logic for EDPS
  • Experience with CMS Submissions Process and EDI transactions
  • Excellent time management and organizational skills necessary
  • Prior experience troubleshooting performance problems that may have many underlying causes such as Disk, Database, Network, Messaging and other platform / 3rd party solutions.
  • Experience with managing product back end and webservices
  • Ability to guide customers remotely through complex, multi-server deployments and upgrades for enterprise products
  • Familiarity with at least one non-Windows operating system (such as Linux, HPUX, AIX)
  • Familiarity with EDI Standards such as X12, EDIFACT, HL7, NCPDP and knowledge of HIPAA transactions.
  • Knowledge of various network and internet technologies and communication protocols: TCP/IP, SFTP, HTTP, AS2, etc. highly desired.
  • Prior knowledge of 837's along with various loops and segments and an understanding of the requirements set forth by CMS for EDPS submission files
  • Prior experience with ETL and Mapping
  • Excellent working knowledge of SQL
  • Very strong written and verbal skills.
  • Knowledge in CMS model changes is a plus
  • Knowledge of CMS Risk Score and Risk Adjustment methodologies is a plus.
  • Knowledge of Medicaid is a plus and having a good understanding and work experience on the Medicaid is a great added value.

Travel Requirements:
•Will travel to Company head quarter for new hire orientation and if there are any specific training or customer meetings.

Working Arrangements:
•Monday through Friday or as defined by assignment requirements

Compliance

Job responsibilities include fostering the Company's compliance with all applicable laws and regulations, adherence to the Code of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone's responsibility.

#LI-REMOTE

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

Thank you for reviewing this Veradigm opportunity. Does this look like a great match for your skill set? If so, scroll on down and tell us more about yourself