Medix

Compensation

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Job Title: Care & Utilization Management System Configuration Analyst - 247102 Position Type: Direct Hire Work Location: 100% Remote - MUST reside in North Carolina Compensation: $95,000 - $105,000 / year ABOUT OUR CLIENT / ABOUT THIS ROLE Medix is seeking a Care & Utilization Management System Configuration Analyst for a Direct Hire opportunity with one of our Managed Care clients in North Carolina. This individual will be joining a team, and will be primarily responsible for maintaining and supporting changes to the configurations in the Care & Utilization Management Platform (ZeOmega JIVA). We are seeking individuals who have 5+ years of experience, and have prior experience configuring CM/UM platforms such as JIVA. Strong experience with SQL (SSIS/ SSRS, Power BI) is also required. DAY TO DAY RESPONSIBILITIES • Serving as an Application Configuration Specialist for a healthcare management software platform - ZeOmega JIVA (similar Care Management / Utilization Management will be considered) • Conducting application configuration activities - covering code tables, data management, data migration, business rules, assessments, sentinel rules, alerts, basic report development, user maintenance, data loads, etc • Representing the core business functions, processes and workflows for the business units utilizing the healthcare management software • Serving as a liaison between business units, vendor support groups, and IT Teams • Identifying, gathering and documenting business requirements • Reviewing and clarifying user stories and user acceptance criteria, overseeing the software modifications and interface design specifications to support the design and configuration process. • Configuring, testing and implementing new workflow processes to support company operations • Conducting business process mapping • Performing unit and end to end testing and debugging of system changes • Designing and developing reporting code using SQL and SSRS, customizing to business requirements. • Working across the ZeOmega JIVA platform - including Nurse Portal, Provider Portal, Member Portal REQUIRED QUALIFICATIONS & TECHNICAL SKILLS • 5+ years of professional experience • Prior experience in the Health Insurance / Health Plan / Managed Care industry required • Experience with Healthcare Management CORE Administration Software - such as HealthEdge Guiding Care, JIVA (ZeOmega), etc • Advanced Microsoft SQL, SSRS and Power BI Reporting experience • We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). • As a job position within our IT and EHR division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing confidential information, potential exposure to personally identifiable information and/or HIPAA records and information, access to work stations for other staff, access to login credentials for protected technical equipment and software, unrestricted access to company software and programs. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.