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Business Analyst jobs at HCA Healthcare - 87 jobs

  • Senior Revenue Integrity Charge Analyst- Cardiac

    HCA 4.5company rating

    Business 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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  • Analyst, Risk & Quality Reporting (Remote TX)

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Job Duties Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan Calculate and track gap closure and intervention outcome reporting for the assigned state Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations JOB QUALIFICATIONS REQUIRED QUALIFICATIONS: Bachelor's Degree or equivalent combination of education and work experience 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI Familiarity with Microsoft Azure, AWS or Hadoop 1-3 years of experience in Analysis related to health care reporting 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics Familiarity with HEDIS and Risk data 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.
    $94k-118k yearly est. Auto-Apply 28d ago
  • Analyst, Risk & Quality Reporting (Remote)

    Molina Healthcare 4.4company rating

    Utah jobs

    The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** + Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports + Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. + Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan + Calculate and track gap closure and intervention outcome reporting for the assigned state + Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling + Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and work experience + 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. + 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design + 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI + Familiarity with Microsoft Azure, AWS or Hadoop + 1-3 years of experience in Analysis related to health care reporting + 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics + Familiarity with HEDIS and Risk data 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 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-116.8k yearly 21d ago
  • Analyst, Risk & Quality Reporting (Remote)

    Molina Healthcare 4.4company rating

    Ohio jobs

    The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** + Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports + Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. + Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan + Calculate and track gap closure and intervention outcome reporting for the assigned state + Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling + Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and work experience + 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. + 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design + 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI + Familiarity with Microsoft Azure, AWS or Hadoop + 1-3 years of experience in Analysis related to health care reporting + 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics + Familiarity with HEDIS and Risk data 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 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-116.8k yearly 21d ago
  • Analyst, Risk & Quality Reporting (Remote)

    Molina Healthcare 4.4company rating

    Wisconsin jobs

    The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** + Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports + Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. + Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan + Calculate and track gap closure and intervention outcome reporting for the assigned state + Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling + Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and work experience + 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. + 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design + 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI + Familiarity with Microsoft Azure, AWS or Hadoop + 1-3 years of experience in Analysis related to health care reporting + 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics + Familiarity with HEDIS and Risk data 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 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-116.8k yearly 21d ago
  • Business Analyst (Medicare Strategy)

    Molina Healthcare Inc. 4.4company rating

    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
  • ServiceNow Business Analyst

    Community Health Systems 4.5company rating

    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
  • Facility Coding Inpatient DRG Quality Analyst

    Banner Health 4.4company rating

    Remote

    Department Name: Coding-Acute Care Compl & Educ Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $29.11 - $48.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certificationâ„¢. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). In this Inpatient Facility-based HIMS Coding Quality Associate position, you bring your 5 years of acute care inpatient coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency and recent Hospital Facility Coding experience. This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training. Flexible scheduling after completion of training. Location: REMOTE, Banner provides equipment Ideal candidate: 5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume); DRG and PCS Coding, Auditing experience; Bachelors degree or equivalent; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts encountered in Banner's Academic, Trauma, high acuity and critical access facilities, as well as specialized services such as behavioral health, oncology, pediatric. Acts as subject matter expert regarding experimental and newly developed procedure and diagnostic coding. CORE FUNCTIONS 1. Provides guidance on coding and billing, utilizing coding and billing guidelines. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers suggestions for improvement where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies training needs for coding staff. Serves as a team member for internal coding accuracy audits and documents findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams' initiatives to improve coding and clinical documentation. Assists with education and training of staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees to properly educate physicians, nursing, coders, CDM's, etc. with proper and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as a basis for development of coding education and audit plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7. May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill. 8. Works independently under limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight for all Banner facilities and services they provide. Internal customers include but are not limited to medical staff, employees, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community. MINIMUM QUALIFICATIONS Requires a level of education as normally demonstrated by a bachelor's degree in Health Information Management or experience equivalent to same. Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other qualified coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record. Extensive knowledge of all coding conventions and reimbursement guidelines across services lines, LCD/NCDs and MAC/FIs. Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, as well as effective human relations skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $29.1-48.5 hourly Auto-Apply 22d ago
  • Analyst, Risk & Quality Reporting (Remote)

    Molina Healthcare 4.4company rating

    Fort Worth, TX jobs

    The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** + Work with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports + Build intervention strategy reporting for the Risk and Quality interventions and measure gap closure. + Build ad hoc reports as requested to track HEDIS performance and supplemental data monitoring + Development and QA of custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP + Develop custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates + Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan + Calculate and track gap closure and intervention outcome reporting for the assigned state + Work in an agile business environment to derive meaningful information out of organizational data sets through data analysis and data profiling + Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance + Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations **JOB QUALIFICATIONS** **REQUIRED QUALIFICATIONS:** + Bachelor's Degree or equivalent combination of education and work experience + 1-3 years of experience in working with data mapping, data profiling, scrapping, and cleaning of data. + 1-3 years of experience in a Managed Care Organization executing similar techno functional role that involves writing SQL Queries, Functions, Procedures, and Data design + 1-3 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI + Familiarity with Microsoft Azure, AWS or Hadoop + 1-3 years of experience in Analysis related to health care reporting + 1-3 years of experience in working with data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics + Familiarity with HEDIS and Risk data 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 - $116,835 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-116.8k yearly 25d ago
  • Business Analyst (Medicare Strategy)

    Molina Healthcare Inc. 4.4company rating

    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. 4.4company rating

    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. 4.4company rating

    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. 4.4company rating

    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
  • Oracle Finance Functional Analyst

    Community Health Systems 4.5company rating

    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 4.5company rating

    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
  • Oracle Finance Functional Analyst - Remote

    Community Health System 4.5company rating

    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. 9d ago
  • Oracle EPM Functional Analyst - Remote

    Community Health System 4.5company rating

    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. 14d ago
  • IT Application Portfolio Management Analyst, Clinical Application Services Management

    Community Health Systems 4.5company rating

    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
  • Senior UKG Application Analyst - Remote

    Community Health Systems 4.5company rating

    Remote

    The Senior UKG Application Analyst 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 Application 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 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. Auto-Apply 20d ago
  • Sr. Cerner Application Analyst - Registration & Financial Clearance

    Community Health Systems 4.5company rating

    Remote

    Community Health Systems is hiring a Senior Cerner Application Analyst- 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 Application Analyst 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
    $102k-125k yearly est. Auto-Apply 30d ago

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