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AmeriHealth Caritas · 1 month ago

Application Support Business System Analyst

United States

Full-time

Remote

Senior Level

5+ years exp

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in delivering comprehensive healthcare solutions. The Application Support Business System Analyst will lead a team to ensure system stability, improve processes, and resolve issues while collaborating with stakeholders and providing mentorship to staff.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Oversee and lead a team of production staff, including assigning tasks, monitoring workload & performance, and providing coaching and mentorship

Leads and/or consults on system upgrades and system interfaces; performs system impact assessments

Leads team members, optimizing workflows, ensuring accuracy and compliance, and contributing to the improvement of overall system processing efficiency

Leads an Application Production Support Team & provides in depth troubleshooting and product knowledge across multiple technologies/business units in support of system platform

Leads the design, testing, and validation of automation techniques to consistently improve technology and business processes in the production environment

Lead team members in completing their daily tasks efficiently and effectively, ensuring that team targets and goals are met

Ensure compliance with all relevant state and federal health payer regulations, payer policies, and contractual agreements and maintain accuracy and efficiency in all aspects of production

Analyze cross-technology and cross platform issues; identify bottlenecks in system processing workflows, proposing and implementing solutions to improve efficiency

Troubleshoot and resolve defects/ issues with client concerns with a sense of urgency & ensure effective decision-making

Analyze production metrics and KPIs, providing actionable insights to drive performance enhancements

Identify trends, identifies anomalies and initiate recommendations for change to management

Partner with stakeholders to identify and develop workflow improvements

Serves as the top escalation point on the team. For the most complex issues, the incumbent may conduct independent research to resolve issues

Develop and execute production schedules, ensuring timely and accurate processing of claims while maintaining a focus on cost efficiency

Collaborate with cross-functional teams, including vendors to optimize production workflows and resolve issues

Prepare and provide daily, weekly, and monthly productivity report metrics

Facilitate team daily stand ups, meetings with business stakeholders, vendors, other IS teams

Acts as a mentor to less experienced staff, explaining relevant procedures and providing technical guidance. Train and educates staff on new process changes

Produces and maintains documentation on procedures, policies, and systems; assists in the development of usage and user access policies and procedures

Provide input to manager on staff performance relating to technology but does not prepare or deliver reviews

Conducts complete diagnostics of most business problems, factoring in a strong understanding of the business & technical architecture

Manage an assignment to resolve an escalated problem, implement upgrades, etc., usually lasting several months or less, which may require directing internal resources

Qualification

Healthcare experienceApplication software supportAnalytical skillsMicrosoft SQLTechnical CertificationsCustomer service orientationCollaborationProblem-solvingAdaptabilityDocumentation

Required

Strong communication skills

Solid analytical thinking

Clear collaboration with developers

Coordination of product releases

Ability to prevent recurring issues

Strong organization skills

Oversee and lead a team of production staff

Assign tasks, monitor workload & performance, and provide coaching and mentorship

Lead and drive continuous improvement initiatives

Implement strategic plans to enhance productivity

Ensure compliance with all relevant state and federal health payer regulations

Analyze cross-technology and cross platform issues

Troubleshoot and resolve defects/issues with client concerns

Analyze production metrics and KPIs

Identify trends and initiate recommendations for change

Develop and execute production schedules

Collaborate with cross-functional teams

Prepare and provide daily, weekly, and monthly productivity report metrics

Facilitate team daily stand ups and meetings

Acts as a mentor to less experienced staff

Produces and maintains documentation on procedures, policies, and systems

Conducts complete diagnostics of business problems

Manage assignments to resolve escalated problems

Preferred

At least five to seven (5-7) years knowledge/experience of HealthCare and/or Managed Care Organizations

At least five to seven (5-7) years as a Subject Matter Expert in the Healthcare Payor industry

Knowledge/experience with government market lines of business (Medicaid, Medicare)

Some knowledge/experience with Medicaid/Medicare LTSS (Long Term Services & Support) government product

Independent & strong analytical & problem-solving skills

A collaborative mindset with open communication style

Adaptability and resilience in a fast-paced production environment

Applies technical skills independently and acts as a technical expert

Possesses a strong orientation towards customer service

BS in Computer Science or related fields, or Technical Certifications, Certified Business Analysis Professional (CBAP) Certification, or equivalent years of experience in an Application Systems Support Role

Beginner to intermediate technical skills with Microsoft SQL

Experience with Microsoft Office professional suite of products

Benefits

Flexible work solutions including remote options

Hybrid work schedules

Competitive pay

Paid time off including holidays and volunteer events

Health insurance coverage for you and your dependents on Day 1

401(k)

Tuition reimbursement

And more.

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)