Applications Analyst jobs at HCA Healthcare - 74 jobs
Senior Revenue Integrity Charge Analyst- Cardiac
HCA 4.5
Applications analyst job at HCA Healthcare
Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Revenue Integrity Charge Specialist with Revenue Integrity you can be a part of an organization that is devoted to giving back!
This is a work from home position.
Schedule: Monday-Friday Day Shift
Must have prior experience in Cardiology Coding or experience working in a Cardiac Cath Lab/Interventional Radiology.
Benefits
Revenue Integrity offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Revenue Integrity family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Senior Revenue Integrity Charge Specialist to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
The Senior Revenue Integrity for Cath Lab and Interventional Radiology Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.
What you will do in this role:
* Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines
* Coordinates with facility/departments to obtain missing medical record documentation as needed
* Coordinates with department leaders to identify trends and address issues related to charge capture
* Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely
* Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments
* Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance
What qualifications you will need:
* Associates Degree Required. Equivalent work experience may substitute education requirements.
* Minimum 1 year coding/HIM experience
* Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)
* RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date)
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.
HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Senior Revenue Integrity Charge Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$75k-95k yearly est. 1d ago
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Business Analyst (Medicare Strategy)
Molina Healthcare Inc. 4.4
Columbus, OH jobs
Responsible for creating business unit and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains state and product-specific Medicare growth strategies
* Assesses strategic impact of regulatory changes
* Monitors sources to ensure all updates are aligned.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
* Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts that can impact financials.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge.
* Strong analytical and problem-solving skills.
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
* Medicare experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
* Strong analytical and problem-solving skills.
* Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,168 - $97,363 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$60.2k-97.4k yearly 1d ago
Clinical Informatics Analyst Senior, Validation and Testing
Community Health Systems 4.5
Remote
The Clinical Informatics Senior position provides expertise in the design, implementation, and optimization of clinical information systems across multiple domains. This role collaborates with clinical and IT teams to enhance patient care, improve workflow efficiency, and support clinical decision-making through the use of technology. The Clinical Informaticist Senior position may focus on specialized areas such as nursing informatics, medication management applications, or other clinical functions, adapting best practices to meet the needs of various departments.
Essential Functions
Leads detailed workflow mapping and gap analysis across complex clinical environments.
Designs and executes comprehensive validation and testing strategies for system changes and optimizations.
Serves as subject matter expert during go‑live, adoption, and stabilization phases.
Guides teams through change management processes and ensures stakeholder alignment.
Mentors P1-P2 informaticists on workflow analysis, testing, and deliverable quality.
Maintains knowledge of regulatory requirements, data standards, and industry best practices in clinical informatics, applying them to system design and management for the specialty area.
Analyzes data and performance metrics to assess effectiveness and recommend improvements.
Serves as a liaison between clinical departments and IT, ensuring that clinical needs are represented in system development and deployment.
Qualifications
Bachelor's Degree in Nursing, Healthcare Informatics, Information Technology, or a related field Preferred
5-8 years of experience in clinical informatics or a related field for specified position Required
1-3 years of experience in a senior or lead role
Knowledge, Skills and Abilities
Advanced understanding of clinical workflow design, optimization, and process improvement.
Strong skills in test planning, validation, and troubleshooting of clinical system functionality.
Excellent communication and facilitation abilities to lead cross‑functional discussions.
Ability to interpret data and present insights for decision‑making.
Effective project coordination with the ability to lead portions of complex initiatives.
Ability to manage competing priorities and deliver results independently.
Professionalism and adaptability in dynamic clinical settings.
Licenses and Certifications
Certification in Clinical Informatics (e.g., ANCC Informatics Nursing Certification, CAHIMS/CPHIMS) Oracle Health Cerner Preferred
The Clinical Informatics Analyst III (P3) provides expertise in the design, implementation, and optimization of clinical information systems across multiple domains. This role collaborates with clinical and IT teams to enhance patient care, improve workflow efficiency, and support clinical decision-making through the use of technology. The Clinical Informatics Analyst III (P3) may focus on specialized areas such as nursing informatics, medication management applications, or other clinical functions, adapting best practices to meet the needs of various departments.
Essential Functions
Leads the implementation and optimization of clinical information systems, ensuring alignment with clinical and organizational goals.
Collaborates with clinical staff, IT teams, and stakeholders to assess, design, and refine workflows that improve patient care and operational efficiency.
Analyzes system performance, user feedback, and clinical outcomes to identify areas for improvement and implement solutions.
Provides expert support and troubleshooting for clinical systems, working closely with end-users to resolve issues and enhance usability.
Participates as SME in the training and education programs for clinical staff, ensuring Training Materials are effective for the use of technology to support patient care for the specialty area.
Maintains knowledge of regulatory requirements, data standards, and industry best practices in clinical informatics, applying them to system design and management for the specialty area.
Participates in quality improvement initiatives, leveraging data and analytics to drive evidence-based decisions and support clinical initiatives for the specialty area.
Serves as a liaison between clinical departments and IT, ensuring that clinical needs are represented in system development and deployment.
Qualifications
Bachelor's Degree in Nursing, Healthcare Informatics, Information Technology, or a related field preferred
3-5 years of experience in clinical informatics or a related field for specified position required
1-3 years of experience in a senior or lead role preferred
Knowledge, Skills and Abilities
Strong knowledge of clinical informatics, system implementation, and healthcare technology best practices.
Advanced analytical skills to assess workflow efficiency, system performance, and data quality.
Excellent communication and interpersonal skills to engage with clinical staff, IT professionals, and stakeholders across various specialties.
Ability to manage multiple projects and adapt informatics solutions to support diverse clinical needs.
Knowledge of healthcare regulations, data privacy standards, and compliance requirements related to clinical informatics.
Licenses and Certifications
Certification in Clinical Informatics (e.g., ANCC Informatics Nursing Certification, CAHIMS/CPHIMS)
$79k-98k yearly est. Auto-Apply 16d ago
ServiceNow Business Analyst
Community Health Systems 4.5
Remote
We are seeking a ServiceNow Business Analyst with strong experience in both business analysis and the ServiceNow platform. This role will be responsible for gathering and translating business requirements into functional specifications, supporting the design and implementation of ServiceNow modules, and ensuring solutions align with enterprise goals and user needs.
Key Responsibilities:
Collaborate with business stakeholders to gather, analyze, and document requirements for ServiceNow solutions (ITSM, SPM, EA, BCM, HRSD, CSM, etc.).
Translate business needs into clear, detailed functional requirements and user stories.
Support configuration, testing, and deployment of ServiceNow modules and enhancements.
Serve as a liaison between technical teams and business users to ensure successful solution delivery.
Assist in creating process documentation, training materials, and user guides.
Participate in agile ceremonies and contribute to continuous process improvement.
Monitor platform usage and identify opportunities for optimization and automation.
Required Qualifications:
3+ years of Business Analyst experience, preferably in an IT or enterprise application environment.
2+ years of hands-on experience with ServiceNow, including knowledge of key modules like ITSM, SPM, EA, BCM, CMDB, or HRSD.
Strong understanding of software development lifecycles and agile methodologies.
Excellent communication, analytical, and problem-solving skills.
Ability to manage multiple priorities and work effectively across teams.
Preferred Qualifications:
ServiceNow Certified System Administrator or Business Analyst certification.
Experience with ServiceNow reporting, workflows, or scripting a plus.
Familiarity with ITIL or IT service management principles.
$71k-96k yearly est. Auto-Apply 19d ago
Oracle Finance Functional Analyst
Community Health Systems 4.5
Remote
Our Benefits
As an Oracle Finance Functional Analyst at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including:
• Competitive compensation
• Paid time off for vacations, holidays, and illness
• Comprehensive health insurance (medical, dental, vision, prescription)
• 401(k) retirement savings plan
• Education support and student loan assistance
• Life and disability insurance
• Flexible spending account
Job Summary
The Oracle Finance Functional Analyst serves as a key resource in implementing, supporting, and enhancing complex enterprise applications, which may include Oracle Cloud Infrastructure (OCI) development and support. This role collaborates with cross-functional teams to understand business needs, configure and develop systems, and resolve incidents while contributing to long-term system strategy and optimization. The Senior Analyst ensures operational readiness, drives product vision in partnership with stakeholders, and mentors junior team members.
In addition, the Oracle Finance Functional Analyst specializes in Oracle Fusion Financials and PPM modules (GL, Cash Management, Fixed Assets, Project Costing, Subledger Accounting, BI, and Payroll). The role is responsible for implementing, configuring, and supporting Oracle Finance modules, bridging the gap between business needs and technical teams, and driving efficiency and effectiveness in financial operations.
Essential Functions
Evaluates and corrects system incidents, ensuring configurations and customizations align with business needs and corporate standards.
Serves as a subject matter expert and escalation point for application upgrades, issue resolution, OCI development, and/or high-impact projects.
Designs, develops, tests, and deploys OCI-related solutions, integrations, reports, and system enhancements.
Collaborates with product management, technical teams, and business stakeholders to define requirements, develop solutions, and measure success through key performance metrics.
Supports the development and refinement of strategic application roadmaps and process improvements, including OCI and other enterprise applications.
Ensures operational readiness for new features and technology implementations, including documentation, user training, and knowledge transfer.
Mentors junior analysts and contributes to knowledge-sharing across the team.
Participates in planning and execution of complex initiatives requiring coordination across multiple teams.
Performs other duties as assigned.
Complies with all policies and standards.
Position-Specific Responsibilities
Conducts requirements gathering workshops and stakeholder interviews to document business processes, BRDs, FDDs, and Visio diagrams for Oracle Fusion Finance and PPM modules.
Configures Oracle Fusion Financials and Subledger Accounting across FIN, PPM, SCM, and Payroll to meet business requirements.
Leads or participates in functional, system integration, and user acceptance testing to ensure solutions meet business needs.
Develops training materials and delivers training for Oracle Fusion Finance and PPM end-users.
Provides production support, troubleshooting, and resolution of service requests for Oracle Fusion FIN and PPM modules.
Designs and develops OTBI reports and dashboards, customizing them to meet business requirements.
Supports personalization and customization efforts using Page Composer, VBS/VBCS, and other Oracle tools to adapt solutions to client needs.
Stays current on industry best practices and Oracle Fusion updates, recommending enhancements to optimize financial processes.
Qualifications
Bachelor's Degree in Information Systems, Computer Science, or a related field required.
5-7 years of experience in application systems analysis, development, or enterprise system support required.
Experience with enterprise-level application implementations, enhancements, or OCI development required.
Position-Specific Qualifications
Minimum of 5 years of proven experience as a Techno-Functional Analyst or similar role, with direct responsibility for Oracle Fusion Financials and PPM modules.
Strong ability to analyze complex business problems, develop effective solutions, and configure Oracle Fusion Financials and SLA across FIN, PPM, SCM, and Payroll.
Experience in requirements gathering, solution design, configuration, testing, and documentation for Oracle Fusion Financials.
Proficiency in Oracle reporting tools, including OTBI and BIP, and familiarity with SQL and Oracle Fusion tables.
Knowledge, Skills and Abilities
Advanced understanding of system development lifecycle, OCI services, integrations, and application support models.
Strong analytical and troubleshooting skills with attention to detail.
Proficiency with development tools, OCI architecture, and enterprise application platforms.
Excellent interpersonal and communication skills, with the ability to translate complex technical concepts to non-technical users.
Ability to manage multiple priorities in a fast-paced environment.
Proven ability to work both independently and collaboratively in cross-functional teams.
Licenses and Certifications
Certified Scrum Product Owner (CSPO) or Professional Scrum Product Owner (PSPO) preferred
Certified in Oracle Cloud Infrastructure preferred
Oracle Fusion Financials Module Certification preferred
This is a fully remote opportunity
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
$111k-133k yearly est. Auto-Apply 9d ago
Oracle EPM Functional Analyst - Remote
Community Health Systems 4.5
Remote
Our Benefits:
As an Oracle EPM Functional Analyst at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including:
• Competitive compensation
• Paid time off for vacations, holidays, and illness
• Comprehensive health insurance (medical, dental, vision, prescription)
• 401(k) retirement savings plan
• Education support and student loan assistance
• Life and disability insurance
• Flexible spending account
Job Summary
The Oracle EPM Functional Analyst leads the design, development, testing, deployment, and support of complex application systems. This role serves as a technical expert, providing strategic insights into system enhancements and database management. The Senior Analyst collaborates with cross-functional teams to optimize system performance, mentor junior analysts, and drive continuous improvement initiatives across the organization.
In addition, the Oracle EPM Functional Analyst is responsible for implementing, configuring, and supporting Oracle EPM solutions including FCCS, ARCS, EPBCS, EDMCS, Automate Server, Essbase, and OIC. This role bridges the gap between business needs and technical teams, ensuring efficient and effective financial operations within the Oracle EPM environment.
Essential Functions
Leads the development and maintenance of advanced programs, ensuring efficient and effective application performance.
Analyzes and translates complex business requirements into robust technical solutions, aligning with organizational objectives.
Oversees the planning, testing, implementation, and optimization of database systems, including performance tuning and capacity analysis.
Develops and reviews database interface programs, advanced SQL queries, and other database objects to ensure efficient data management and retrieval.
Provides technical leadership in database design, data modeling, and the creation of relational database structures, supporting corporate and client information systems.
Manages database security protocols, auditing procedures, and disaster recovery planning to maintain data integrity and availability.
Conducts comprehensive troubleshooting and resolves critical system and database issues, minimizing downtime and ensuring continuity.
Mentors and provides guidance to junior analysts, fostering skill development and knowledge sharing within the team.
Collaborates with stakeholders across departments to identify improvement opportunities and implement innovative solutions.
Stays abreast of emerging technologies and industry best practices, applying this knowledge to enhance system capabilities.
Performs other duties as assigned.
Complies with all policies and standards.
Position-Specific Responsibilities
Conducts requirements gathering workshops and interviews with stakeholders to understand business needs and identify gaps between current and future processes.
Designs and configures Oracle EPM modules (FCCS, ARCS, EPBCS, EDMCS) to meet business requirements, translating needs into techno-functional specifications.
Leads or participates in functional, system integration, and user acceptance testing for Oracle EPM solutions.
Develops training materials and delivers training to end-users on effective use of Oracle EPM modules.
Provides production support, troubleshooting issues, and resolving service requests for Oracle EPM modules via ticketing and email systems.
Builds custom reports within EPM Suite/SmartView, manages data reconciliation between Fusion GL and EPM modules, and develops automations using batch scripts or Python.
Supports quarterly upgrades and change management efforts, ensuring system stability and audit compliance.
Stays updated on industry trends and Oracle EPM enhancements, proposing continuous improvement initiatives to optimize financial processes.
Qualifications
B
2-4 years of experience with SQL databases and enterprise-level application systems preferred.
Position-Specific Qualifications
5 or more years of proven experience as a Techno-Functional Analyst or similar role with Oracle EPM modules (FCCS, ARCS, EPBCS, EDMCS, Essbase, OIC) required.
Experience with Oracle Fusion integration, requirements gathering, solution design, configuration, testing, and documentation required.
Knowledge, Skills and Abilities
Strong ability to analyze complex business problems and develop effective solutions in Oracle EPM modules - FCCS, ARCS, EPBCS, EDMCS, Automate Server, Essbase, OIC.
Project management skills to handle multiple initiatives simultaneously, meet deadlines, and deliver high-quality results.
Expert knowledge of application systems, software development life cycle (SDLC), and database management.
Advanced proficiency in Oracle EPM modules, SQL, data modeling, and database performance tuning.
Strong leadership, mentorship, and collaboration skills, with the ability to manage complex projects and drive strategic initiatives.
Excellent analytical and problem-solving abilities with a focus on continuous improvement and data-driven decision-making.
Effective communication and presentation skills, capable of articulating complex technical concepts to diverse audiences.
In-depth understanding of database security, compliance requirements, and disaster recovery planning.
Licenses and Certifications
Oracle EPM Implementer certifications (FCCS, ARCS, EPBCS, Fusion GL/FIN/PPM subledgers) preferred
OTBI and BIP reporting certifications preferred
This is a fully remote opportunity
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
$111k-133k yearly est. Auto-Apply 14d ago
Senior UKG Application Analyst - Remote
Community Health Systems 4.5
Franklin, TN jobs
The Senior UKG ApplicationAnalyst serves as a technical and functional expert responsible for implementing, supporting, and enhancing complex enterprise applications across the organization. This role partners with business stakeholders and cross-functional IT teams to analyze requirements, design and configure solutions, resolve complex incidents, and optimize system performance. The Senior Analyst contributes to long-term application strategy, process improvement, and operational readiness while mentoring junior analysts and ensuring consistent adherence to corporate standards.
As an Senior UKG ApplicationAnalyst, at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
**Essential Functions**
+ Ensure integration files are processed on time and include accurate data such as hours worked, PTO, shift differentials, and overtime.
+ Generate reports on timekeeping compliance, overtime, and payroll metrics.
+ Conducting payroll audits to ensure accuracy of employee time records for completeness and accuracy while identifying and reconciling payroll discrepancies.
+ Maintain a high standard of customer service by handling ticket inquiries with professionalism and ensuring employee satisfaction and trust.
+ Evaluates, troubleshoots, and resolves complex application incidents, ensuring configurations and enhancements align with business requirements and corporate governance standards.
+ Serves as a subject matter expert and escalation point for high-impact issues, system upgrades, integrations, and enterprise application projects.
+ Analyzes user and system requirements; designs, develops, tests, and implements technical solutions, reports, or integrations across assigned enterprise platforms.
+ Collaborates with product management, technical teams, and business stakeholders to define solution requirements, develop system roadmaps, and measure success through key performance indicators.
+ Supports the implementation, configuration, and optimization of enterprise applications, including but not limited to ERP, HCM, and other core operational systems (e.g., Oracle, Kronos, ServiceNow).
+ Leads or contributes to the design and rollout of new features, ensuring readiness through documentation, user training, and operational support planning.
+ Ensures data integrity, compliance with security standards, and adherence to established IT policies and change control processes.
+ Participates in strategic initiatives and application portfolio planning to align technology capabilities with organizational objectives.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ This is a fully remote opportunity
**Qualifications**
+ Bachelor's Degree in Information Systems, Computer Science, or a related field required
+ 5-7 years of progressive experience in application systems analysis, configuration, or support of enterprise applications required
+ Experience supporting enterprise platforms such as Oracle Cloud, Kronos, ServiceNow, or other large-scale business applications required
+ Prior experience leading system enhancements, integrations, or upgrades within the healthcare industry required.
+ Experience with payroll software (such as UKG) and time recording systems (such as Dimensions or Kronos) is strongly preferred.
+ Knowledge of payroll policies and understanding of payroll processing is strongly preferred.
**Knowledge, Skills and Abilities**
+ Strong knowledge of system analysis, configuration management, and application lifecycle support.
+ Proficiency in troubleshooting complex application issues and implementing effective technical and functional solutions.
+ Working knowledge of reporting tools, data analytics, and integration frameworks.
+ Excellent analytical, problem-solving, and communication skills.
+ Ability to manage multiple projects and priorities in a fast-paced, cross-functional environment.
+ Skill in mentoring and knowledge-sharing with team members.
+ Understanding of IT governance, change management, and information security principles.
_This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer._
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged, and career advancement is possible.
The SBO HRO Team oversees and administers the Advanced Learning Center (ALC), Human Resource Services, Human Resources Information Systems (HRIS) and Payroll. Their job is to ensure synchronicity of all our locations when it comes to HR processes.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
$89k-107k yearly est. 60d+ ago
Senior UKG Application Analyst - Remote
Community Health System 4.5
Remote
The Senior UKG ApplicationAnalyst serves as a technical and functional expert responsible for implementing, supporting, and enhancing complex enterprise applications across the organization. This role partners with business stakeholders and cross-functional IT teams to analyze requirements, design and configure solutions, resolve complex incidents, and optimize system performance. The Senior Analyst contributes to long-term application strategy, process improvement, and operational readiness while mentoring junior analysts and ensuring consistent adherence to corporate standards.
As an Senior UKG ApplicationAnalyst, at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Essential Functions
* Ensure integration files are processed on time and include accurate data such as hours worked, PTO, shift differentials, and overtime.
* Generate reports on timekeeping compliance, overtime, and payroll metrics.
* Conducting payroll audits to ensure accuracy of employee time records for completeness and accuracy while identifying and reconciling payroll discrepancies.
* Maintain a high standard of customer service by handling ticket inquiries with professionalism and ensuring employee satisfaction and trust.
* Evaluates, troubleshoots, and resolves complex application incidents, ensuring configurations and enhancements align with business requirements and corporate governance standards.
* Serves as a subject matter expert and escalation point for high-impact issues, system upgrades, integrations, and enterprise application projects.
* Analyzes user and system requirements; designs, develops, tests, and implements technical solutions, reports, or integrations across assigned enterprise platforms.
* Collaborates with product management, technical teams, and business stakeholders to define solution requirements, develop system roadmaps, and measure success through key performance indicators.
* Supports the implementation, configuration, and optimization of enterprise applications, including but not limited to ERP, HCM, and other core operational systems (e.g., Oracle, Kronos, ServiceNow).
* Leads or contributes to the design and rollout of new features, ensuring readiness through documentation, user training, and operational support planning.
* Ensures data integrity, compliance with security standards, and adherence to established IT policies and change control processes.
* Participates in strategic initiatives and application portfolio planning to align technology capabilities with organizational objectives.
* Performs other duties as assigned.
* Maintains regular and reliable attendance.
* Complies with all policies and standards.
* This is a fully remote opportunity
Qualifications
* Bachelor's Degree in Information Systems, Computer Science, or a related field required
* 5-7 years of progressive experience in application systems analysis, configuration, or support of enterprise applications required
* Experience supporting enterprise platforms such as Oracle Cloud, Kronos, ServiceNow, or other large-scale business applications required
* Prior experience leading system enhancements, integrations, or upgrades within the healthcare industry required.
* Experience with payroll software (such as UKG) and time recording systems (such as Dimensions or Kronos) is strongly preferred.
* Knowledge of payroll policies and understanding of payroll processing is strongly preferred.
Knowledge, Skills and Abilities
* Strong knowledge of system analysis, configuration management, and application lifecycle support.
* Proficiency in troubleshooting complex application issues and implementing effective technical and functional solutions.
* Working knowledge of reporting tools, data analytics, and integration frameworks.
* Excellent analytical, problem-solving, and communication skills.
* Ability to manage multiple projects and priorities in a fast-paced, cross-functional environment.
* Skill in mentoring and knowledge-sharing with team members.
* Understanding of IT governance, change management, and information security principles.
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged, and career advancement is possible.
The SBO HRO Team oversees and administers the Advanced Learning Center (ALC), Human Resource Services, Human Resources Information Systems (HRIS) and Payroll. Their job is to ensure synchronicity of all our locations when it comes to HR processes.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
$102k-125k yearly est. 20d ago
Senior UKG Application Analyst - Remote
Community Health Systems 4.5
Remote
The Senior UKG ApplicationAnalyst serves as a technical and functional expert responsible for implementing, supporting, and enhancing complex enterprise applications across the organization. This role partners with business stakeholders and cross-functional IT teams to analyze requirements, design and configure solutions, resolve complex incidents, and optimize system performance. The Senior Analyst contributes to long-term application strategy, process improvement, and operational readiness while mentoring junior analysts and ensuring consistent adherence to corporate standards.
As an Senior UKG ApplicationAnalyst, at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Essential Functions
Ensure integration files are processed on time and include accurate data such as hours worked, PTO, shift differentials, and overtime.
Generate reports on timekeeping compliance, overtime, and payroll metrics.
Conducting payroll audits to ensure accuracy of employee time records for completeness and accuracy while identifying and reconciling payroll discrepancies.
Maintain a high standard of customer service by handling ticket inquiries with professionalism and ensuring employee satisfaction and trust.
Evaluates, troubleshoots, and resolves complex application incidents, ensuring configurations and enhancements align with business requirements and corporate governance standards.
Serves as a subject matter expert and escalation point for high-impact issues, system upgrades, integrations, and enterprise application projects.
Analyzes user and system requirements; designs, develops, tests, and implements technical solutions, reports, or integrations across assigned enterprise platforms.
Collaborates with product management, technical teams, and business stakeholders to define solution requirements, develop system roadmaps, and measure success through key performance indicators.
Supports the implementation, configuration, and optimization of enterprise applications, including but not limited to ERP, HCM, and other core operational systems (e.g., Oracle, Kronos, ServiceNow).
Leads or contributes to the design and rollout of new features, ensuring readiness through documentation, user training, and operational support planning.
Ensures data integrity, compliance with security standards, and adherence to established IT policies and change control processes.
Participates in strategic initiatives and application portfolio planning to align technology capabilities with organizational objectives.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
This is a fully remote opportunity
Qualifications
Bachelor's Degree in Information Systems, Computer Science, or a related field required
5-7 years of progressive experience in application systems analysis, configuration, or support of enterprise applications required
Experience supporting enterprise platforms such as Oracle Cloud, Kronos, ServiceNow, or other large-scale business applications required
Prior experience leading system enhancements, integrations, or upgrades within the healthcare industry required.
Experience with payroll software (such as UKG) and time recording systems (such as Dimensions or Kronos) is strongly preferred.
Knowledge of payroll policies and understanding of payroll processing is strongly preferred.
Knowledge, Skills and Abilities
Strong knowledge of system analysis, configuration management, and application lifecycle support.
Proficiency in troubleshooting complex application issues and implementing effective technical and functional solutions.
Working knowledge of reporting tools, data analytics, and integration frameworks.
Excellent analytical, problem-solving, and communication skills.
Ability to manage multiple projects and priorities in a fast-paced, cross-functional environment.
Skill in mentoring and knowledge-sharing with team members.
Understanding of IT governance, change management, and information security principles.
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged, and career advancement is possible.
The SBO HRO Team oversees and administers the Advanced Learning Center (ALC), Human Resource Services, Human Resources Information Systems (HRIS) and Payroll. Their job is to ensure synchronicity of all our locations when it comes to HR processes.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Community Health Systems is hiring a Senior Cerner ApplicationAnalyst- Registration & Financial Clearance to join our EHR Team. This role will help implement, manage, and modernize the Cerner Registration & Scheduling Application. As a Senior Analyst, you will consult on comprehensive service line workflows, including current state and future state, and work with clients to map out stop-start-continue processes to determine how the system will be designed and tested while adhering to the CHS Standard. You will identify, resolve and report solution status, risks, and issues to client and project leadership, coach on data collection and system design requirements and analyze to determine optimal solution build and implementation. You will also consult with internal project and organizational teams to bi-directionally share configuration status, project timelines and project updates, and verify configuration requests. As a key member of the team, you will maintain relationships and navigate through conflict and complex relationship situations to achieve business objectives, coach and mentor associates and supporting internal team initiatives.
Essential Functions
Senior Cerner ApplicationAnalyst is responsible for evaluating, building, testing and resolving Issues with and maintaining the Cerner Registration & Financial Clearance Application(s).
Resolves complex problems that may involve various groups across functional lines and exercises independent judgment in developing processes, techniques, and success factors.
Identify, resolve and report solution status, risks, and issues to client and project leadership, coach on data collection and system design requirements and analyze to determine optimal solution build and implementation.
Consult with internal project, Business Partners, and organizational teams to bi-directionally share configuration status, project timelines and project updates, and verify configuration requests.
Stay up to date on industry and Cerner best practices for continuous modernization of the EHR.
In-depth understanding on rule management and PSO Automation build/maintenance
Qualifications
Required:
Bachelor's degree or 8 years direct application experience.
5 years direct application experience
Preferred:
6 -10 years direct application experience
CHSPSC, LLC seeks an IT Application Services Management (ASM) Senior Analyst to assist in the facilitation of application Services management processes pertaining to analyzing value, evaluating risk, prioritizing projects and onboarding new technology requests to ensure alignment with organizational strategies for the physician service line.
Essential Functions
Strategic analysis of the enterprise application portfolio including lifecycle management, application rationalization, consolidation and standardization to achieve the department objectives of the organization including reducing variation of redundant or unused applications
Assist in the definition, implementation and support of portfolio management standards, policies and processes
Facilitate data driven decisions pertaining to IT project investments
Define the structure, attributes, taxonomies and nomenclature of service line elements and categories within the repository toolset (ServiceNow) to ensure completeness and accuracy of the list of enterprise IT business applications
Collaborate with business partners, technology leaders and department directors to identify and promote adoption of enterprise standards and rationalization of application systems to achieve economic and patient experience improvement goals
Document current state and contribute to the direction of the application lifecycle management (LCM) roadmap to reduce costs, mitigate risks, and drive growth and revenue
Provide expertise on decisions and priorities regarding the overall enterprise application portfolio
Track application and vendor trends and maintain knowledge of new technologies to support the organization's current and future needs
Maintain an awareness of industry standard best practices and apply relevant methodologies for process improvement
Serve as a portfolio point of contact for the business leadership of the service line
Perform application rationalization feasibility analysis and proposals for management and business partners which support the organization's clinical and economic objectives
Review and define applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals
Develop and maintain productive relationships of trust both within and outside CHS and embrace the authoritative role in respect to maintaining enterprise standards and align others to the strategic direction
Collaborate with Audit teams to respond to and mitigate audit findings and manage audit controls related to application systems and LCM
Function as an escalation point for junior staff and set the example in work ethic and critical thinking skills
Educate peers and business partners on department methodologies and drive adoption of standard process
Identify and evaluate portfolio risks and recommend mitigation plans
Assist with business impact analysis and application criticality assessments
Partner with key business and delivery stakeholders to conduct application and service line reviews including scope, metrics, expenses and net promoter scores to determine the disposition of existing and proposed solutions
Communicate timely and accurate status to appropriate levels and stakeholders including the development and delivery of status reports and presentations
Qualifications
Bachelor's degree in Clinical Informatics, Health Science, Information Systems, Computer Science or a related discipline, or 4 years of relevant experience
Results oriented mentality to drive accurate deliverables with appropriate time to market while taking responsibility for the outcomes
Customer focused to align services with customer needs
Creativity in developing and executing innovative strategies to meet unique customer needs
Excellent verbal and written communication, presentation and customer service skills
Ability to handle pressure to meet business requirement demands and deadlines
Expertise in analyzing and presenting large volumes of data to senior leadership
Critical thinking in developing proposals with sound analysis and achievable outcomes
Ability to prioritize tasks and quickly adjust in a rapidly changing environment
Exceptional analytic problem solving skills
Ability to work independently and in a team environment
Organizational awareness and the ability to understand relationships to get things accomplished more effectively
Preferred:
Experience with APM, CMDB and CSDM components within the ServiceNow platform
Application product ownership experience
Strong relationship management experience
Project management experience/certification
4 or more years in an application portfolio/services management role
$102k-125k yearly est. Auto-Apply 16d ago
Lead Analyst, Healthcare (Remote)
Molina Healthcare 4.4
Fort Worth, TX jobs
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Provides healthcare analysis including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination.
+ Manages small to large scale projects initiated by both health plan and Corporate Parent.
+ Designs and develops solutions to support business needs using various technologies.
+ Analyzes all in bound requests and determines appropriate technology solution for an effective and efficient delivery.
+ Quality oversight mechanisms to include reconciliation guidelines, mentoring guidance and new employee training.
+ Provides Administrator level support for share point and reporting services.
+ Accomplishes the goals and objectives of the Finance, Research and Analytics team.
+ Responsible for prioritization and timely completion of all tasks and report requests as assigned thru the share point request system.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
5-7 Years
**Preferred Experience**
7-9 Years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 12d ago
Business Analyst (Medicare Strategy)
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Responsible for creating business unit and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains state and product-specific Medicare growth strategies
* Assesses strategic impact of regulatory changes
* Monitors sources to ensure all updates are aligned.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
* Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts that can impact financials.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge.
* Strong analytical and problem-solving skills.
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
* Medicare experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
* Strong analytical and problem-solving skills.
* Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,168 - $97,363 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$60.2k-97.4k yearly 1d ago
Business Analyst (Medicare Strategy)
Molina Healthcare Inc. 4.4
Akron, OH jobs
Responsible for creating business unit and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains state and product-specific Medicare growth strategies
* Assesses strategic impact of regulatory changes
* Monitors sources to ensure all updates are aligned.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
* Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts that can impact financials.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge.
* Strong analytical and problem-solving skills.
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
* Medicare experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
* Strong analytical and problem-solving skills.
* Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,168 - $97,363 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$60.2k-97.4k yearly 1d ago
Business Analyst (Medicare Strategy)
Molina Healthcare Inc. 4.4
Dayton, OH jobs
Responsible for creating business unit and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains state and product-specific Medicare growth strategies
* Assesses strategic impact of regulatory changes
* Monitors sources to ensure all updates are aligned.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
* Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts that can impact financials.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge.
* Strong analytical and problem-solving skills.
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
* Medicare experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
* Strong analytical and problem-solving skills.
* Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,168 - $97,363 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$60.2k-97.4k yearly 1d ago
Business Analyst (Medicare Strategy)
Molina Healthcare Inc. 4.4
Ohio jobs
Responsible for creating business unit and state-specific strategies as well as driving key strategic initiatives to transform the Medicare organization. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIES
* Develops and maintains state and product-specific Medicare growth strategies
* Assesses strategic impact of regulatory changes
* Monitors sources to ensure all updates are aligned.
* Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
* Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
* Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
* Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts that can impact financials.
KNOWLEDGE/SKILLS/ABILITIES
* Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
* Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
* Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
* Ability to concisely synthesize large and complex requirements.
* Ability to organize and maintain regulatory data including real-time policy changes.
* Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
* Ability to work independently in a remote environment.
* Ability to work with those in other time zones than your own.
JOB QUALIFICATIONS
Required Qualifications
* At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.
* Policy/government legislative review knowledge.
* Strong analytical and problem-solving skills.
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
Preferred Qualifications
* Medicare experience
* Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS).
* Strong analytical and problem-solving skills.
* Ability to frame strategic challenges with research and synthesis and draw out solutions and create action plans
* Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
* Previous success in a dynamic and autonomous work environment.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,168 - $97,363 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$60.2k-97.4k yearly 1d ago
IT Application Portfolio Management Analyst, Clinical Application Services Management
Community Health Systems 4.5
Remote
CHSPSC, LLC seeks an IT Application Portfolio Management analyst to assist with governing application submissions into ServiceNow, developing data stewards, and contributing to application decision management. The role will be engaged with various governance teams, building process documents, communicating across the organization, and reporting various outcomes.
Key responsibilities include:
Manage the structure, attributes, taxonomies and nomenclature of service line elements and categories within the repository toolset (ServiceNow) to ensure completeness and accuracy of the list of enterprise IT business applications
Govern submitted application requests into ServiceNow
Develop data steward processes to maintain application portfolio
Assist in developing data governance processes with application records
Educate peers and business partners on department methodologies and drive adoption of standard process via a developed process guide
Develop certification processes for the application records
Provide expertise on decisions and priorities regarding the overall enterprise application portfolio
Develop reports showcasing status, decisions, and plans
Participate in various governance meetings
Support executive leadership application updates
Support strategic analysis of the enterprise application portfolio including lifecycle management, application rationalization, consolidation and standardization to achieve the department objectives of the organization including reducing variation of redundant or unused applications
Understand the data driven decisions pertaining to IT project investments
Collaborate with business partners, technology leaders and department directors to identify and promote adoption of enterprise standards and rationalization of application systems to achieve economic and patient experience improvement goals
Participate in application rationalization feasibility analysis and proposals for management and business partners which support the organization's clinical and economic objectives
Review and support applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals
Collaborate with Audit teams to respond to and mitigate audit findings and manage audit controls related to application systems registered in ServiceNow
Support and evaluate portfolio risks and recommend mitigation plans
Support business impact analysis and application criticality assessments
Communicate timely and accurate status to appropriate levels and stakeholders including the development and delivery of status reports and presentations
Required:
ServiceNow Enterprise Architecture/Application Portfolio Management knowledge
ServiceNow CMDB and CSDM components within the ServiceNow platform
Lifecycle management understanding
Results oriented mentality to drive accurate deliverables with appropriate time to market while taking responsibility for the outcomes
Customer focused to align services with customer needs
Creativity in developing and executing innovative strategies to meet unique customer needs
Excellent verbal and written communication, presentation and customer service skills
Ability to handle pressure to meet business requirement demands and deadlines
Expertise in analyzing and presenting large volumes of data to senior leadership
Critical thinking in developing proposals with sound analysis and achievable outcomes
Ability to prioritize tasks and quickly adjust in a rapidly changing environment
Exceptional analytic problem solving skills
Ability to work independently and in a team environment
Organizational awareness and the ability to understand relationships to get things accomplished more effectively
Preferred:
Application product ownership experience
Strong relationship management experience
Project management experience/certification
2 or more years in an application portfolio/services management role
Lean / Six Sigma Green Belt
Qualifications and Education Requirements:
Bachelor's degree in Clinical Informatics, Health Science, Information Systems, Computer Science or a related discipline, or 2 years of relevant experience
ServiceNow certifications
ITIL certifications
$73k-93k yearly est. Auto-Apply 14d ago
Interoperability and Integration Specialist (Remote)
Community Health Systems 4.5
Franklin, TN jobs
Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments.
**Essential Functions**
+ **Mirth Connect (Primary Focus)**
+ Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect.
+ Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.).
+ Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation.
+ Collaborate with platform specialists to ensure high availability and platform integrity.
+ Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors.
+ Coordinate with offshore/onshore teams for 24x7 support coverage.
+ **InterSystems HealthShare (Strategic Focus)**
+ Participate in the pilot deployment of HealthShare Health Connect.
+ Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble).
+ Support platform consolidation planning across fragmented integration engines.
+ Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment.
+ **Interoperability & Standards**
+ Work closely with the Technical Integration Manager and enterprise architecture team.
+ Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA).
+ Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases.
+ **Documentation & Communication**
+ Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans.
+ Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies.
**Qualifications**
+ Bachelor's degree in Computer Science or Information Technology.
+ 8+ years of hands-on integration engine experience in a healthcare integration environment.
+ 5+ years of hands-on Mirth Connect experience in a healthcare integration environment.
+ Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols.
+ At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble).
+ Experience supporting production interfaces in mission-critical hospital or HIE environments.
+ Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic.
+ Basic scripting experience (JavaScript, XSLT, or Python preferred).
+ Ability to contribute to a 24x7 on-call rotation.
**Preferred Qualifications:**
+ Experience with cloud-based integration (Google Cloud Platform preferred).
+ Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks.
+ Understanding of HIPAA, HITECH, and healthcare compliance.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
$21k-34k yearly est. 60d+ ago
Senior Revenue Integrity Charge Analyst
HCA Healthcare 4.5
Applications analyst job at HCA Healthcare
**Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Revenue Integrity Charge Specialist with Revenue Integrity you can be a part of an organization that is devoted to giving back!
This is a work from home position.
Schedule: Monday-Friday Day Shift
**Benefits**
Revenue Integrity offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (**********************************************************************
**_Note: Eligibility for benefits may vary by location._**
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Revenue Integrity family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Senior Revenue Integrity Charge Specialist to help us reach our goals. Unlock your potential!
**Job Summary and Qualifications**
The Senior Revenue Integrity for Cath Lab and Interventional Radiology Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.
**What you will do in this role:**
+ Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines
+ Coordinates with facility/departments to obtain missing medical record documentation as needed
+ Coordinates with department leaders to identify trends and address issues related to charge capture
+ Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely
+ Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments
+ Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance
**What qualifications you will need:**
+ Associates Degree Required. Equivalent work experience may substitute education requirements.
+ Minimum 1 year coding/HIM experience
+ Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)
+ RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date)
**Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Senior Revenue Integrity Charge Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.