Application Support Analyst
Data analyst job at Inovalon
Overview: The Application Support Analyst will be responsible for providing in-depth analysis, technical support for application software, operating systems and/or integrated third party products to external and internal customers.
Duties and Responsibilities:
Take a collaborative role with the application support team to triage production problems, perform defect analysis and provide fixes in a timely fashion, particularly with high priority items
Provide and take ownership of estimates for your work and monitor progress against the estimate
Work with support team to prioritize and schedule support activities
Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered
Liaise with Technology and Engineering teams to resolve application issues
Update documentation to cover implementation of application solutions, including technical specifications, site deployment and support requirements
Ensure compliance to Company procedures when making changes and implementing code
Respond to support requests through phone calls, emails, live chat, and in person;
Tier 1 end user support for issues with internal applications, data integrity, data exchange, and reports
Troubleshoot, identify, track, and ensure resolution of issues
Provide application administration functions such as creating and updating standardized codes, mapping tables, account queues, and other data parameters for our internal applications
Maintain a follow up schedule for unresolved issues
Create and maintains system configuration, process, and procedure documentation on assigned projects
Run, monitor and maintain automated services, macros and scripts
Process daily file transfers
Prioritize help desk requests based on operational needs and escalate issues to quick resolution when needed
Assist operations with process improvement and finding solutions to business problems
Maintain compliance with Inovalon's policies, procedures and mission statement
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such
Job Requirements:
Minimum 2 years of experience in application support to include SaaS and/or healthcare background
Minimum 2 years of experience with basic system administration tasks in Linux and Microsoft Windows servers
Basic EDI knowledge, knowledge of 837/835/277/999/824/276/270/271
Knowledge of standard payer HIPAA requirements such as: X12 HIPAA file Structure, PHI requirements
Proficient in ServiceNow or other CRM system (Salesforce, etc.)
Being able to communicate clearly with clients; client focused and sensitive to client needs
Basic to advanced knowledge of SQL Developer
The ability to prioritize client issues as they are submitted
The ability to multi-task effectively
Excellent problem solving and analytical skills
Education:
Bachelor's degree or equivalent work experience required.
Physical Demands and Work Environment:
Sedentary work (i.e., sitting for long periods of time);
Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
Subject to inside environmental conditions; and
Travel for this position will include less than 5% locally usually for training purposes.
Auto-ApplyPrincipal Data Scientist (Gen AI) = Hybrid = St. Pete
Saint Petersburg, FL jobs
SGS Technologies, we are a software development and staffing company that doesn't simply talk services - we accomplish them. With two decades of experience, we use a combination of latest technological knowledge, future-driven ideas, and specialized skills for multiple forms of IT requirements.
SGS has served numerous clients nationwide in various industries and we want you to be a part of that growth and opportunity!
looking for a Principal Data Scientist (Gen AI) to work on a 12+ Months, Contract (potential Extension or may Convert to Full-time) = at Any One Location (St. Petersburg, FL 33716 / Denver, CO 80246) with a Direct Financial Client = only on W2 for US Citizen or Green Card Holders.
Notes from the Hiring Manager:
• This role requires a hybrid onsite schedule (2-3 days per week) at an Client's physical location, with St. Petersburg, FL or Denver, CO strongly preferred. Fully remote candidates will not be considered.
• Senior-level, Data Science-focused position requiring 3+ years of recent, hands-on Data Science experience.
• Strong proficiency in Python and SQL is essential.
• The role leans more toward Generative AI than traditional Machine Learning within the Data Science space.
• Opportunity for extension based on performance, with potential to convert to full-time for the right candidate.
Summary:
The Lead Data Scientist supports development of advanced decision support systems by employing advanced techniques from data analytics (including statistical analysis) and machine learning, particularly including NLP. The successful candidate will join an innovative and energetic team that develops capabilities that improve the performance of our business units and make them more efficient. This is a hands-on role in which the Data Scientist is expected to carry out a project from start to finish.
Skills:
· Excellent communication skills, with the ability to explain technical concepts to a non-technical audience
· Strong knowledge of Machine Learning techniques, including NLP but the focus is more on the GEN Ai side than ML side
· Knowledge of statistics, including hypothesis testing
· Strong Python skills
· Proficient in SQL
· Comfortable with Unix scripting
· Experience building models that actually delivered value to a business
· Experience deploying systems to a production environment
· Experience working in an Agile environment
· Working knowledge of “big data” technology
Education:
· Minimum of a Bachelor's degree and six (6) years of relevant experience or combination of education, training and experience.
Business Process Analyst (On-site)
Tallahassee, FL jobs
Title: Business Process Analyst (On-site) | Location: Tallahassee, FL | Duration: Long-Term
Required Skills and Experience
* Candidate must have a minimum of 5 years experience in business process reengineering and documentation. This experience must also be in a professional environment in financial discipline.
* Candidate will be expected to describe multiple past experiences with business process tools and how they were deployed for a successful outcome.
* Knowledge of financial management best practices which can be translated to organization financial practices.
* Ability to produce legible and complete functional documentation in a way that thoroughly captures business processes and inputs/outputs of the applications.
* Ability to analyze and accurately and completely define processes and workflows to design efficient information solutions, including missing or duplicate functionality in existing applications.
* Ability to work effectively with users and a project team, to identify and document requirements for the maintenance, enhancement, or development of computer application systems, including technical overviews and context diagrams.
* Ability to develop and manage business and information systems technical documentation in accordance with the clients standards.
* Knowledge of relational database theories and concepts.
* Skill in testing complex applications and interpreting whether requirements and designs were met in the product.
* Ability to plan, organize, coordinate, and prioritize work assignments for him/herself or lower-level analysts.
* Skill in accurately preparing schedule estimates for requirements analysis and computer programming tasks in a computer application maintenance environment.
* Ability to work effectively with Project Managers, Business Analysts, Data Analysts, and Technical Architects to build efficient, viable solutions in the maintenance of business applications utilizing all established cliental standards.
* Ability to prepare complex computer program specifications.
* Ability to prepare computer program test plans and to create test databases and test environments.
* Ability to interpret and communicate technical information related to computer programming and data processing, both verbally and in writing.
* Advanced skills with Microsoft products: Word, Excel, PowerPoint, and Visio.
* Experience working on accounting and financial computing applications and monitoring complex interfaces with external systems.
* Knowledge of Agile Project Management methodologies and practices.
* Knowledge of the SCRUM Framework.
Preferred Skills and Experience
* SCRUM Master or Product Owner certification.
* Skill in performing QA reviews and provide valuable feedback in determining that standards are met and that documents are complete and comprehensive.
* Knowledge of mainframe programming languages, computer systems and supporting software.
* Skill in data conversion techniques, data cleansing approaches and validating data relationships.
* Basic knowledge of Universal Modeling Language (UML) and supporting enterprise tools to document business processes and data lineage, collect requirements, develop test scripts, and manage traceability.
Primary Responsibilities
* Participate in efforts to define the impact on client computing assets from the implementation of Florida PALM standard business process model, chart of accounts, and PeopleSoft solution. Produce deliverables including, but not limited to business process diagrams and narratives, business requirements, program specifications, and supporting business processes, data conversion and technical impact analyses.
* Use subject matter expertise, industry methodologies and best practices, and automated tools to analyze and make recommendations on behalf of the client for required changes to complex financial-related business processes to align with the Florida PALM solution.
* Detail data element inputs and outputs for client computing assets interfacing with FLAIR. Inputs may include, but not limited to, manual data entry, direct access via scripting solutions, and batch uploads. Outputs can include data extracts, outgoing interfaces, and reports.
* Prepare specifications to communicate client specific functional requirements for the FPST transition efforts and address dependencies with other interfacing computing assets and external stakeholder interfaces. Oversee the development of testing strategies, data scenarios, and test plans to ensure functional requirements are addressed.
* Assist in the business process redesign and documentation as needed to support ongoing FPST efforts in the enterprise environment.
* Work with functional and enterprise system support staff during technical assessments of the clients internal financial-related systems and interfaces from/to the Florida PALM solution.
* Document business cases and feasibility studies. Facilitate work sessions to elicit and prioritize remediation requirements. Identify any functionality seen as needed, but missing, in client maintained systems. Include analysis of outstanding remediation requests.
* Translate high level business requirements into detailed business documents and/or functional specifications.
* Coordinate the development of project schedules, implementation plans, and documentation for computing asset remediation. Present to management, customer, and technical staff.
* Assist with User Acceptance Testing and Florida PALM cycle testing; Confer with Central Office and District personnel to ensure client financial-related systems are performing as required.
* Evaluate critical information gathered from multiple resources. Summarize detailed data into executive level formats as well as breaking down aggregate information into meaningful pieces.
* Develop standardized desk procedures that include the purpose, prerequisites, process flows and narratives of business processes.
* Help manage user stories, the project backlog, and sprint backlogs.
* Prepare proposed business rules, develop, monitor, and implement knowledge transfer activities.
* Participate in SCRUM meetings including daily stand-ups, sprint planning, and sprint retrospectives.
Education
* Bachelors or Masters Degree in Computer Science, Information Systems, Finance, or other related field. Work experience can substitute on a year for year basis for the degree. Special consideration will be given to candidates with Six Sigma certification or similar business analysis and engineering certifications.
Why Kyra?
Founded in 1997, Kyra Solutions is a national leader of transportation technology and regulatory solutions in government. We specialize in the art and science of digital transformation in government. Our commitment to providing the highest level of service and tailored solutions has supported our consistent double-digit growth for over a decade. We are headquartered in the greater Tampa Bay area with other offices across Florida and an innovation center in Silicon Valley, CA.
Because of our dedication to our employees, we have won one of the Best Companies to Work for in Florida 3 years in a row by Florida Trend magazine. Kyra has won other numerous awards including the coveted INC magazine s one of America s Fastest Growing Companies several years in a row. Kyra's commitment to our employees, to best practices in project management and business analysis, and to solution development has led to our achievement in becoming the first Project Management Institute certified company in Florida. Our proven successful track record has resulted in several prestigious awards including the State of Florida's Diversity Business of the Year Award. We are proud to be a sponsor for the TaxWatch Productivity Awards and partner to Florida TaxWatch.
Background & References
Verifiable professional references will be required along with the resume; however, references will be checked/contacted after the interview and before the project starts. Level two background check will be done on the selected candidate for employment, criminal (State & Federal), education, and others as mandated by the client. Please make sure your resume and all other information provided are accurate. Any misrepresentation will mean permanent disqualification by the client. Equal employment opportunity employer.
Business Data Analyst
New York, NY jobs
Iris's client, Financial Domain, is currently searching for a strong Business Data Analyst for a contractual opportunity.
Job title: Business Analyst / Data Analyst
Duration: 3 Months Contract to hire.
Skills: Business Analyst, Data analysis, SQL, etc
:
Key Skills:
Data Analysis using SQL
Understanding of capital market or ETF products
Experience with reference data or index data or market data
Complex SQL queries
Job Description:
Essential Duties and Responsibilities:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Market Data Analysis: review security and market data to identify and resolve data exceptions and recommend improvements to enhance overall market data quality.
Monitor File Ingestion: Oversee daily ingestion of investment data into portfolio systems and internal databases, ensuring proper loading and troubleshooting issues related to delayed or missing files.
Ensure Data Integrity: Supervise the internal movement of data across VanEck's infrastructure to ensure accurate and timely generation of reports, addressing any discrepancies in the data outputs.
Resolve Data Issues: Investigate and research issues raised through the ticketing system, determine root causes, and collaborate with IT Data Developers to resolve technical problems.
Document Processes: Create and maintain documentation of daily, monthly, and quarterly operational processes and take ownership of tasks and identify opportunities for operational improvements.
Improve Operational Process: Analyze current business processes to identify and implement solutions that improve efficiency, scalability, and reliability, creating streamlined workflows.
Business Analysis: Document data requirements for enhancements and collaborate with IT Data Developers and communicate with business teams across the organization to meet business objectives.
Education:
Bachelor's degree is required with focus on Computer Science, information Science, or equivalent.
3 to 5 years of industry experience working within the technology and data operations of a financial firm.
Knowledge related to financial operation workflows and best practices.
Qualifications:
To perform this job successfully, an individual must exemplify the following qualifications.
Excellent Data Management Skills: Strong knowledge of various data sets, including security master data, pricing data, corporate actions, index levels, holdings, transactions, index constituents, performance data, and security analytics.
Exceptional Analytical Skills: Proficient in SQL to conduct data-driven analysis, review and summarize data, and identify data quality issues to ensure accurate reporting and decision-making.
Proficient Business Analysis: Skilled in gathering business requirements and creating detailed documentation for developers, ensuring the effective translation of business needs into technical specifications.
Understanding of Data Operations: Ability to assess current processes and make recommendations for improvements to streamline workflows, enhance operational efficiency, and ensure high-quality data management.
Strong Communication Skills: Excellent verbal, written, and interpersonal communication skills, with the ability to effectively interact with both technical and non-technical individuals.
Proactive Problem-Solving Ability: Demonstrated ability to take initiative in solving complex problems, driving outcomes in a self-directed manner with minimal supervision.
Technical Skills:
SQL Proficiency is essential for conducting data-driven analysis.
SQL Programming is required for investigation and root-cause analysis.
Microsoft PowerBI experience or equivalent data visualization platforms is preferred.
Business Analyst- Partner Integrations
Harrisburg, PA jobs
This is a fully remote role.
D&H is growing! Join 100+ year old Employee-Owned technology distributor, offering end-to-end solutions for today's resellers, retailers, and the clients they serve across the SMB and Consumer markets.
We are empowered by our employee Co-Owners who provide the industry's best service, and we promote a collaborative culture.
We offer an Employee Stock Ownership Plan, 401k, Paid Time Off, Medical, Prescription, Dental and Vision benefits as well as Gym Reimbursement, Work from Home Reimbursement, Employee Purchase Program, Tuition Assistance and much more!
As a D&H Co-Owner you receive numerous discounts on services.
We feel strongly about giving back to the community and promoting sustainable, eco-friendly business practices.
SUMMARY
The SCS Business Analyst is responsible for successful delivery of implementations and enhancements for D&H Supply Chain Services. The role is highly collaborative, coordinating with a broad range of cross-functional project stakeholders (internal and external).
The Business Analyst (BA) team is part of the Project Management Office (PMO) within IT. At a high level, the Business Analyst serves as the bridge of communication between business stakeholders and IT staff. The BA is responsible for facilitating discussions among the business users to understand the current business process and their need for change. The BA must then accurately document and communicate this need to the IT staff to design a solution that will ensure all stakeholder expectations are met.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Develop an understanding of the end users' current business processes.
Elicit business requirements.
Create/Maintain Business Requirements Documents (BRD).
Facilitate cross-functional requirements review (BA/DEV/QA).
Secure Approval/sign-off for BRD.
Support the development and testing of deliverables.
Develop User Acceptance Testing (UAT) Plan; Review and confirm plan with project stakeholder(s).
Create and validate integration test files (EDI X12, API, XML, flat file, etc.), reconciling against the relevant specifications.
Facilitate UAT; share results.
Secure UAT approval/signoff.
Develop Go-Live Plan (when needed).
Create training materials, including Train-The-Trainer model, as needed.
Complete post go-live validation and warranty period support. Manage the bug lifecycle, when necessary.
Maintain process documentation, revising at the conclusion of projects to reflect the new state.
Provide project and resource managers updates on the status of assignments (progress, milestones, risks, issues/roadblocks).
Analyze integration specifications (EDI X12, API), performing gap analysis against current D&H organizational capabilities.
Identify areas of potential process improvement, recommending and implementing changes.
Coordinate with external integration partners (clients, VANs, etc.) throughout the project lifecycle.
Support and mentor team members.
Adhere to PMO and IT processes:
Collaborate with co-owners across the organization to ensure project success.
Assist with troubleshooting on solutions for production issues assigned to BA queues, escalating as necessary.
KNOWLEDGE, SKILLS, and/or ABILITIES
Familiar with common B2B integration (EDI, API, XML) and communication (AS2, SFTP, VAN) types, including the potential purpose and relevant use cases.
Comprehensive understanding of EDI X12 formats and specifications, including: elements, segments, loops, usage requirements, conditional relationships, etc.
Strong verbal and written communication skills.
Strong analytical and problem-solving skills.
Ability to work independently and be self-motivated.
Ability to work in a team environment.
Ability to adapt to change in a consistently evolving technical environment.
Proven capability to collaborate with business stakeholders at all levels
EDUCATION and/or EXPERIENCE
Bachelors' Degree in related field or equivalent industry experience.
3+ years of experience in a Business Analyst or closely related role.
3+ years of experience facilitating integrating implementations.
Basic Microsoft Office, ERP, WMS and office productivity software familiarity.
Healthcare Cloud Data Transformation Lead
Minneapolis, MN jobs
About the job
We are seeking a highly skilled Cloud Data Transformation Architect/Leader to lead the design, implementation, and optimization of large-scale cloud-based data platforms and transformation initiatives. The architect will play a critical role in defining data strategy and roadmap, modernizing legacy environments, and enabling advanced analytics and AI/ML capabilities. This position requires deep expertise in cloud ecosystems, data integration, governance, and performance optimization, along with strong leadership in guiding cross-functional teams. The Transformation leader will drive the implementation roadmap and work with client leadership to demonstrate the ROI of the modernized platform and transformation roadmap.
What you will do at Sogeti
Advisory Consulting, Collaboration & Leadership
Provide leadership and advisory consulting to client data and analytics leadership
Partner with business stakeholders, data leaders, data engineers, and analysts to understand business needs and align with data capabilities
Provide CXO level status reporting and communication along with ROI and NPV measurement/reporting
Provide technical leadership, mentorship, and best practices for data engineering teams.
Serve as the subject matter expert on cloud data and analytics transformation.
Data Strategy, Roadmap & Architecture
Define and maintain the enterprise cloud data architecture, strategy and roadmap aligned with business objectives.
Define key metrics to measure progress and ROI from the roadmap
Design end-to-end cloud data ecosystems (data lakes, data warehouses, lakehouses, streaming pipelines).
Design metadata-driven architecture and open table formats (Delta Lake, Apache Hudi, and Apache Iceberg)
Experienced in implementing cost management measures on Cloud data platforms
Evaluate emerging technologies and recommend adoption strategies.
Data Transformation & Migration
Lead the modernization of on-premises data platforms to cloud-native architectures.
Architect scalable, secure, and high-performance ETL/ELT and real-time data pipelines.
Ensure seamless integration of structured, semi-structured, and unstructured data.
Governance & Security
Implement data governance, lineage, cataloging, and quality frameworks.
Ensure compliance with regulatory standards (GDPR, HIPAA, SOC 2, etc.).
Define data security models for data access, encryption, and masking.
BI Modernization
Lead the modernization of legacy BI platforms to Power BI
Architect and develop Semantic Layer needed for consumption layer - BI, AI etc
Optimization & Innovation
Drive performance tuning, cost optimization, and scalability of cloud data platforms.
Explore opportunities to leverage AI/ML, advanced analytics, and automation in data transformation.
Establish reusable frameworks and accelerators for faster delivery.
Data Operations:
Definition of SLA's/KPI's for Data Platform operations along with the client
Tracking and reporting of SLA's/KPI's to executive leadership
Identify and rollout solutions for improving SLA/KPI adherence
What you will bring
Experience:
18+ years in data engineering/architecture, with 5+ years in leading enterprise-scale cloud data transformations.
Experience in Healthcare Payer industry
Experience defining Enterprise level data strategy and roadmap and driving the implementation for at-least 3 enterprise clients
Experience with playing key advisory role for client data and analytics leadership (CDO and direct reports)
Hands-on expertise with at least one major cloud provider - Azure is must have AWS,GCP is good to have
Experienced in implementing Snowflake on Azure as well as Medallion lakehouse Architecture using Databricks and MS Fabric using open table formats
Experienced in various data modelling techniques and standards for cloud data warehouses
Experienced in designing and implementing high performing data pipelines; performance tuning expertise is required
Experienced with Data Governance implementation with focus on Metadata Management using Alation and Data Quality using Industry standard tools
Experienced with BI Modernization from legacy BI platforms to Power BI - Big plus
Technical Skills:
Data platforms: Snowflake - Must have, Databricks, MS Fabric -Big Plus Synapse, Redshift, Big Query - Good to have
Data integration: Azure Data Factory, DBT, Snowpipe, Informatica Power Center, IDMC CDI, Matillion, Kafka
Programming: SQL, Python, SnowSQL, SnowPark, PySpark, Scala, or Java.
Data Governance: Alation - Must have, Informatica, Collibra, Ataccama - Good to have
BI Platforms: PowerBI -Must have, Qlik, SSRS, SAS - Good to have
Infrastructure as Code: Terraform, ARM, CloudFormation.
Strong understanding of APIs, microservices, and event-driven architectures.
Life at Sogeti: Sogeti supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees, we offer:
Flexible work options
401(k) with 150% match up to 6%
Employee Share Ownership Plan
Medical, Prescription, Dental & Vision Insurance
Life Insurance
100% Company-Paid Mobile Phone Plan
3 Weeks PTO + 7 Paid Holidays
Paid Parental Leave
Adoption, Surrogacy & Cryopreservation Assistance
Subsidized Back-up Child/Elder Care & Tutoring
Career Planning & Coaching
$5,250 Tuition Reimbursement & 20,000+ Online Courses
Employee Resource Groups
Counseling & Support for Physical, Financial, Emotional & Spiritual Well-being
Disaster Relief Programs
About Sogeti
Part of the Capgemini Group, Sogeti makes business value through technology for organizations that need to implement innovation at speed and want a local partner with global scale. With a hands-on culture and close proximity to its clients, Sogeti implements solutions that will help organizations work faster, better, and smarter. By combining its agility and speed of implementation through a DevOps approach, Sogeti delivers innovative solutions in quality engineering, cloud and application development, all driven by AI, data and automation.
Become Your Best | *************
Disclaimer
Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.
This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed. Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship.
Capgemini is committed to providing reasonable accommodation during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact.
Please be aware that Capgemini may capture your image (video or screenshot) during the interview process and that image may be used for verification, including during the hiring and onboarding process.
Click the following link for more information on your rights as an Applicant **************************************************************************
Applicants for employment in the US must have valid work authorization that does not now and/or will not in the future require sponsorship of a visa for employment authorization in the US by Capgemini.
Data Warehouse Architect
Albany, NY jobs
For more details, please connect with Gautmi Jain at ************ or email at *********************
This project is to modernize aging Data Warehouse and Data Analytic systems utilizing new on-premises cloud- and container-based technologies
Required Skills:
84 months experience with a Government Taxation organization, which includes system design, development, maintenance and end user support of Tax & Revenue Accounting Systems and Tax Identification Systems.
84 months experience in design and administration for DB2 LUW on AIX including the use of PureXML and Database Partitioning Feature, traditional DBA tasks of design, tuning, storage management, memory/buffering, backup/recovery and object maintenance. The experience must be on both high-volume transactional systems and analytical systems and involve data purging and roll off, data movement and the shredding natively stored XML data to flattened structures.
84 months of database design and programming experience using Computer Associates IDMS database, programming for an IDMS database using its DMLO language as well as logical design, database navigation, analysis, writing application specifications, testing, documentation.
84 Months experience in administration and support of IBM's InfoSphere Data Replication software to replicate data between databases on DB2 for z/OS and DB2 LUW on AIX (ver 9.5 or higher) including the setup, configuration and maintenance of IBM InfoSphere Data Replication Change Data Capture (CDC), in usage for 24/7 high volume transactional processing databases.
84 months experience with Application performance analysis and tuning
84 months experience with troubleshooting applications on an IBM Mainframe running DB2 z/OS and CICS/MQ
SQL Senior Clinical AI Data Analyst
Philadelphia, PA jobs
Do you like working with data and analytics to evaluate AI models and their performance?
Do you love collaborating with teams to assess and improve generative AI solutions?
About our Team
Elsevier is singularly focused on helping healthcare professionals improve clinical outcomes through evidence-based care. Our generative AI team works on evaluating and implementing cutting-edge AI technologies to enhance our healthcare solutions while ensuring their safety, reliability, and compliance with healthcare standards.
About the Role
We are seeking a motivated individual to join our dynamic generative AI evaluation team. We focus on assessing and validating AI models that support healthcare decision-making tools. Our team ensures that our AI solutions meet rigorous standards for accuracy, fairness, and clinical relevance. The successful candidate will help evaluate model performance, analyze output quality, and ensure our AI solutions align with healthcare best practices.
The successful candidate has relevant experience with AI model evaluation, including performance metrics analysis, output validation, and data visualization. They enjoy collaborating with cross-functional teams including AI researchers, product managers, clinicians, and engineers to evaluate AI models, analyze their outputs, and improve their performance in healthcare contexts.
Responsibilities
Leading requirements gathering and development of analytics frameworks for evaluating generative AI models in healthcare applications
Leading and defining the strategic direction for AI evaluation methodologies in their product area
Managing the analytics roadmap for model evaluation. Collaborating with internal and external stakeholders to manage evaluation timelines and deliverables
Defining, developing, and deploying queries and metrics to assess AI model performance and output quality
Leading data model creation and maintenance for AI evaluation frameworks and monitoring systems
Conducting comprehensive QA of AI outputs and participating in risk analysis and mitigation
Understanding how security and privacy laws such as HIPAA affect AI deployment in healthcare. Understanding how to handle sensitive data including PHI and PII in AI contexts
Requirements
Extensive and relevant experience in data analytics including a depth and breadth of SQL Data Engineering
Demonstrated thought leadership in analytics strategy and enterprise-wide project implementation
Have current experience in a data analytics role
Have expertise in using and querying relational database management systems such as Microsoft SQL Server, Snowflake.
Have expertise in using BI tools such as Tableau or PowerBI
Data Management Specialist
Center, PA jobs
Job Title: Analyst, Data II - Incentive Compensation N01
Duration: 12 Months
Hourly contract Position (W2 only)
Qualifications:
Minimum Qualifications
A bachelor's degree in business or related field highly desired but not required.
2 to 4 years of data-related analytics, finance/accounting or equivalent experience is preferred.
Ability to work independently, with general supervision, on day-to-day tasks, prioritization of work and simultaneous deliverables.
Understanding of master data and structural relationships.
Know when to escalate issues, seek guidance and communicate with others.
Strong computer skills including MS Excel, MS Access and Power Point are required.
Detail oriented with strong analytical and organizational skills.
Strong verbal, written and interpersonal communication skills.
Ability to work in team environment.
Responsibilities:
The Data Analyst II will work under general supervision and be expected to understand the data intricacies within various business processes along with the data requirements and integrity across multiple system solutions.
The Data Analyst II will document critical master data management processes, and development of checks and balances for internal control purposes.
The Data Analyst II must also support data loads and requests for master data maintenance for all business groups within the Client.
This role will raise any problems or issues to higher level analysts or managers who will review work for accuracy. They will also collect, calculate, verify and report incentive compensation to the field sales force in accordance with established incentive compensation programs and guidelines.
Primary Duties and Responsibilities
Assist in the creation of thorough documentation for all master data fields within relevant systems. MDM and Sales Compensation data.
Support and provide input for processes that will allow for master data to be updated consistently and accurately, which will include gaining appropriate approvals.
Communicate with all interested parties when master data is changed.
Actively support the MDM team, who will be the central contact point for all data related issues.
Support OCA data loads through data gathering and completion of load templates. Execution of limited data loads expected. Validate this information is accurate and in compliance with J-SOX controls.
Gather MDM change data, provide summary level analytics and work with higher level analysts to complete robust analytics.
Recommend changes to data structures, elements and uses to optimize the flow of information.
Run monthly incentive compensation processes including manual sales and commission adjustments order/commission splits, transfers of sales/commissions and bonus entries.
Finalize monthly incentive compensation payable for the Sr Manager to approve and submit to payroll for processing. Coordinate with other analysts to finalize the file and communicate to manager.
Provide recommendations/solutions to management on process improvement and/or compensation related disputes. Help implement solutions.
Work with various members of the sales organization to research issues and discrepancies associated with commission/bonus payouts, sales reporting, alignments, compensation plans etc.
Gather sales compensation committee exception requests and send to Sr/Lead Analyst for the meeting.
Assist Sales customers in reconciliation of sales credit and incentive compensation as required.
Understand and provide input on all appropriate incentive compensation policies and SOPs creating new policies or making updates to existing policies when necessary.
Perform other related duties as assigned.
Comments/Special Instructions
The manager is looking for someone with the following skills:
Analytical, investigative, and problem-solving mindset
Able to troubleshoot issues within their internal systems
Strong people skills
should have the capability to be empathetic and compassionate
Technical Research Analyst (467230)
Atlanta, GA jobs
IDR is seeking a Technical Research Analyst to join one of our top clients in Atlanta, GA. This role offers a unique opportunity to delve into the convergence of data and power within the electrical industry. If you are eager to be part of a dynamic organization and thrive in a collaborative, team-oriented environment, we encourage you to apply today!
Position Overview & Responsibilities for the Technical Research Analyst:
Collaborate with leading corporations, educational institutions, and research centers on R&D projects.
Conduct in-depth analysis of emerging technological trends in the convergence of data and power.
Develop comprehensive documentation for research findings, technology evaluations, and market studies.
Present research outcomes and technology roadmaps to executive teams, ensuring alignment with strategic goals.
Required Skills for Technical Research Analyst:
3-5+ years of experience in Power, Electrical, or Industrial Engineering, with a focus on the electrical industry.
Bachelor's degree in Business, IT, or a related field; advanced degrees preferred.
Strong analytical skills to interpret complex data and trends.
Experience with AI and ML in power or utility systems.
Excellent interpersonal skills for effective collaboration and presentation.
What's in it for you?
Competitive compensation package Full Benefits; Medical, Vision, Dental, and more!
Opportunity to get in with an industry leading organization
Close-knit and team-oriented culture
Business Analyst - P&C Insurance required
New York, NY jobs
Sr. BA with Commercial Lines P&C insurance experience
Contract, 12 months
Hybrid, 3 days in week in the NYC (downtown)
This will move quickly for the right candidate - there are multiple positions, starting early January
MUST have Property and Casualty Insurance experience, commercial specialty experience is a plus
Position Description: We are looking for a seasoned Senior Business Analyst with extensive experience in the insurance sector to work on data and finance transformation projects. The ideal candidate will have a strong analytical mindset, excellent problem-solving skills, and the ability to communicate effectively with both technical and non-technical stakeholders. They should have a proven track record of successfully managing and delivering complex projects within the insurance domain.
Experience:
10 to 15 years of experience as a Business Analyst within the insurance industry.
Experience with data and/or finance transformation
Strong understanding of insurance products, processes, and regulations.
Excellent analytical, problem-solving, and decision-making skills.
Exceptional communication and interpersonal abilities.
Proficiency in business analysis tools and methodologies.
Experience with project management and agile methodologies is a plus.
Experience implementing VIPR a big plus
Will need to provide samples of work
Bachelor's degree in Business Administration, Finance, or a related field.
Vertex Solutions Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, national origin, ancestry, religion, age, citizenship, sex, marital or veteran status, disability or handicap, sexual orientation or any other basis prohibited by applicable law.
Application Support Analyst
New York, NY jobs
Job Title: Production Support Analyst
Type: Permanent
Hours: Shift-based (flexibility required)
About BGC Partners
BGC Partners provides a wide range of financial services and trading solutions through voice, hybrid, and electronic platforms. Our technology and market expertise support clients across global markets, offering tools, data, and analytics that enhance price discovery and trade execution.
Role Overview
This position performs a Level 2 Production Support role within Market Operations, ensuring the stability and daily operations of BGC's trading applications. The role supports trading activity across Credit, Rates, and FX, while also participating in core IT service management processes including Incident, Problem, and Change Management.
Responsibilities:
Monitor trading systems and respond to production issues across platforms in Credit, Rates, and FX.
Communicate with internal teams and external clients, providing timely updates and managing expectations through to resolution.
Troubleshoot application and connectivity issues by reviewing logs, monitoring dashboards, and performing basic system analysis.
Use internal tools such as Grafana, Splunk, and system dashboards to track platform health and investigate alerts.
Support and monitor scheduled jobs and automation tasks.
Assist with software releases, including environment checks and post-deployment validation.
Work closely with development, QA, infrastructure, and business teams to maintain production stability.
Follow ITIL-aligned processes for incidents, changes, and problem resolution.
Qualifications:
Familiarity with Linux/Unix and Windows operating systems.
Strong analytical and troubleshooting ability with a problem-solving mindset.
Ability to multitask and prioritize effectively in a fast-paced environment.
Effective verbal and written communication skills for interacting with both technical and business teams.
Exposure to scripting languages (Python or Shell) is a plus.
Basic understanding of networking concepts such as latency, connectivity, and data flow.
Interest or foundational knowledge in Credit, Rates, or FX products.
Experience with SQL, FIX protocol, Git, or JIRA is beneficial but not required.
Educational Qualifications:
Bachelor's Degree required
Salary: $70,000 - $75,000 + Bonus
Salesforce Business Analyst
King of Prussia, PA jobs
Vertex is a US-based tech company with 15 years' experience in Microsoft, Salesforce, BI, AI, and Cloud Computing. We have earned longstanding client relationships as trusted, long-term partners. Every day we inspire, innovate, and implement solutions that solve complex business problems using creativity and technologies that drive results.
About the Role
The Salesforce Business Analyst will act as a bridge between business stakeholders and technical teams, ensuring Salesforce solutions meet organizational goals. This role requires deep expertise in Salesforce Clouds, strong analytical skills, and the ability to document and capture business requirements to align with Salesforce Solution.
Responsibilities
Requirements regarding Gathering & Analysis:
Collaborate with business stakeholders to understand processes, scope and pain points.
Document functional requirements, user stories, and acceptance criteria.
Align requirements working with Salesforce solution team.
Conduct business gap analysis & FIT Gap analysis.
Ability to run Salesforce reports and dashboards and perform data analysis.
Own Requirements end to end.
Solution Design & Validation:
Work closely with architects and developers to share requirements and provide clarity on solutions.
Validate solutions against business needs and Salesforce best practices.
Conduct demo and smoke testing of delivered solutions.
Process Optimization:
Identify opportunities for automation and process improvements within Salesforce.
Business gaps of processes (to be and current state).
Testing & Quality Assurance:
Support UAT, triage defects, smoke test, validate defects, and ensure successful deployment.
Stakeholder Communication:
Act as a liaison between business and technical teams, ensuring clear communication and alignment.
Training & Documentation:
Prepare user guides and conduct training sessions for end-users.
Qualifications
Experience:
12+ years in IT with at least 8 years as a Salesforce Business Analyst.
Proven experience in multi-cloud Salesforce implementations.
Certifications:
Minimum two Salesforce certifications: Salesforce Admin, Sales Cloud consultant is mandatory to have.
Technical Knowledge:
Strong understanding of Salesforce data model, automation tools (Flows, Process Builder), and reporting.
Familiarity with integration tools and data migration strategies.
Ability to create reports & dashboards in Salesforce.
Ability to download Salesforce data using data loader.
Ability to work within Excel Sheet Pivot tables, VLOOKUP.
Analytical & Communication Skills:
Excellent problem-solving, documentation, and stakeholder management skills.
Guidewire Digital Business Analyst with P&C Insurance domain
Erie, PA jobs
Job Description: The Guidewire Business Analyst is responsible for working with functional areas of the business to understand system change requests and then prepare design documents for the Frontline IT organization to develop from.
Responsibilities:
Work with major functional areas of the business to understand and document change requests submitted to the IT organization.
Knowledgeable on integrations with internal and external applications; research any dependencies and work on system design plan with solution architect and developers.
Review and analyze how changes to the business process and / or business needs will impact technical requirements throughout the system and organization.
Shepherd ideas through the System Development Life Cycle to ensure new business processes and system changes are documented, developed, tested, and promoted successfully
Create Software Requirements Specifications, use cases, technical requirements, wireframes, system flow diagrams, and other documentation for Guidewire configurations and custom software development projects.
Clarify requirements prior to delivery of documentation to the Application Delivery team.
Become an expert on Guidewire systems and our system implementations.
Work with Operations team to triage production issues prior to development involvement.
Be the liaison between functional leads, development teams and support teams.
Support UAT (User Acceptance Testing) sessions during UAT phase.
Support production releases - Perform smoke testing
Work with the QA team to ensure test cases are current, correct, and cover alternative paths for existing and new system functionality.
Required Skills
5+ years of hands-on experience as an IT Business analyst in Guidewire Digital Portal projects: Product navigation, Product model, Policy or Claims or Billing Transactions, Integrations, OOTB functionality and integrations, Business rules, Troubleshooting incidents/issues etc.
Hands-on experience in one or more products: Customer Engage, Producer Engage, Customer Engage, GPA, AMP, Claims portal
Thorough knowledge and experience of agile methodologies.
Skilled at writing detailed Software Requirements Specifications (SRS), use cases, and wireframes.
Strong background using defect-ticketing software (such as Rally, JIRA, etc.) to document software requirements, user stories, defects for development teams.
Experience working daily in cross-functional teams.
Skilled at negotiating consensus among departments that request sometimes conflicting or inconsistent software requirements.
Proficient using browser web development tools.
Qualifications
Excellent written and verbal communication skills.
Ability to manage time effectively and work on tasks with competing priority.
Attention to detail and ability to multi-task.
Strong analytical skills and a self-starter attitude required.
Proficient computer skills, including Microsoft Suite (Word, PowerPoint, Outlook, and Excel)
Familiarity with HTML, XML, SOAP APIs, UX Design
P&C Insurance industry experience is must.
Education And/Or Experience
College Degree and 4 - 6 years related experience.
5+ years of Guidewire Digital products implementations, upgrade, or conversion experience as an IT Business Analyst
About ValueMomentum:
ValueMomentum is a leading solutions provider for the global property and casualty insurance industry, supported by deep domain and technology capabilities. We help insurers stay ahead with sustained growth and high performance for enhancing stakeholder value and fostering resilient societies. Trusted by over 100 insurers, ValueMomentum is one of the largest services providers exclusively focused on the property and casualty. ValueMomentum is headquartered in Piscataway, NJ, with state-of-the-art delivery centers in Piscataway, NJ; Hyderabad, Pune, and Coimbatore in India; Toronto in Canada; and London in the United Kingdom.
Business Analyst
Saint Petersburg, FL jobs
Skill In: Technical and Analytical Proficiency Strong understanding of Al/ML concepts, particularly agentic and LLM-based architectures. Familiarity with AWS cloud environments, data pipelines, and API-driven ecosystems. Ability to interpret and validate outputs from frameworks such as Strands, CrewAI, LangGraph, and Agent Core in collaboration with engineers.
Experience working with structured and unstructured data, embeddings, and retrieval systems to support intelligent automation.
Business and Strategic Insight
Deep expertise in requirements analysis, process optimization, and value mapping across enterprise systems.
Strong ability to quantify business impact, model ROl, and articulate how Al systems drive competitive advantage.
Understanding of financial services operations, risk management, and compliance implications in production Al environments.
Leadership and Collaboration
Proven success leading multi-disciplinary teams across data, engineering, and governance functions.
Skilled in translating ambiguity into structure and clarity; comfortable operating at the intersection of innovation and regulation.
Exceptional written and verbal communicator capable of aligning senior stakeholders around transformative Al initiatives.
Guidewire Business Analyst -- MAZDC5697971
Lake Mary, FL jobs
Sales Executive -- Anindya mazumdar
*THE MOST IMPORTANT THING THAT THE CANDIDATES MUST HAVE IS MULTIPLE YEARS OF EXPERIENCE WORKING WITH GUIDEWIRE AND POLICY CENTER.*
The Business Analyst will support system change requests and design documentation for the IT team, with a strong focus on Guidewire PolicyCenter. This role involves working closely with business stakeholders, developers, solution architects, and QA teams to ensure successful delivery of system enhancements and new functionality.
Key Responsibilities
Serve as a subject matter expert on Guidewire PolicyCenter
Document and analyze business change requests and system impacts
Collaborate on system design with architects and developers
Create detailed documentation: SRS, use cases, wireframes, flow diagrams
Support UAT and QA testing efforts
Triage production issues with Operations before escalating to development
Act as liaison between business, development, and support teams
Required Skills & Experience
3+ years hands-on Guidewire PolicyCenter experience (configuration & integration)
Strong understanding of homeowners insurance (commercial property is a plus)
Skilled in writing SRS, use cases, wireframes, and technical documentation
Experience with JIRA, defect tracking, and Agile methodologies
Strong communication and stakeholder management skills
Familiarity with HTML, XML, SOAP APIs, and UX design principles
Proficient in Microsoft Office Suite and browser dev tools
Team & Environment
Fast-paced, growing environment with a focus on Guidewire expansion
Supporting a new Commercial PolicyCenter team, including offshore collaboration
Reports to BA Manager; works across multiple leads and workstreams
Internal recruiting support; hiring 4-5 mid-senior level BAs
Database Developer
Minneapolis, MN jobs
Opportunity for Database Analyst/Developer to support and build databases, reporting solutions, and analytics using SQL Server and Power BI. This hands-on role requires strong analytical skills, experience with end-to-end database builds, and excellent communication in an enterprise environment.
Employment Type: W2 only (No C2C or 3rd Parties)
Key Responsibilities
Support and maintain existing databases and reporting solutions.
Build new databases, data structures, and end-to-end database projects.
Design, develop, and optimize Power BI dashboards and reports for business stakeholders.
Collaborate with cross-functional teams to gather requirements and ensure data solutions meet business needs.
Provide ad hoc reporting and analysis to support business initiatives.
Assist with platform development initiatives and ensure data systems are maintainable and scalable.
Must-Have Qualifications
3-5+ years of data analysis or database development experience.
Hands-on experience with SQL Server and Power BI.
Proven experience with end-to-end database builds.
Experience working in an enterprise environment.
Strong communication and collaboration skills.
ITR Group offers a competitive compensation and benefits package, including medical, dental, and 401(k) for eligible employees. The W2 pay range for this type of role is approximately $55.00 - $60.00 per billable hour. This range is an estimate and not a guarantee of compensation. The final rate will be determined by factors such as experience, market trends, and specific job assignments. Discover more about how ITR Group connects top talent with leading client opportunities.
Senior Business Analyst - Opportunity Intelligence & Identification(Only w2)
Atlanta, GA jobs
Visa Type : Only US Citizen.
We are looking for a highly experienced and strategic Senior Business Analyst to lead our Opportunity Intelligence and Identification function. This role is critical in driving revenue growth, identifying new business opportunities, and enabling data-driven decision-making. The ideal candidate will excel at analysing market trends, customer behaviour, competitive insights, financial metrics, and operational performance to uncover actionable growth opportunities.
Key Responsibilities
Opportunity Intelligence & Market Insights
Develop and manage frameworks for opportunity intelligence, including early trend detection, whitespace analysis, and unmet customer needs.
Evaluate market dynamics, macro trends, and competitive moves to identify new business, product, or segment opportunities.
Partner with Sales, Marketing, and Product teams to translate insights into growth initiatives and strategic recommendations.
Conduct customer segmentation, profiling, and opportunity sizing to understand high-value markets.
Data-Driven Opportunity Identification
Lead comprehensive data analytics to uncover growth opportunities across pipelines, accounts, channels, and product portfolios.
Build predictive models and scoring mechanisms to identify high-probability opportunities and risk segments.
Perform root-cause analysis on opportunity losses and pipeline leakage to recommend corrective strategies.
Assess financial attractiveness of opportunities through ROI, pricing scenarios, and profitability modelling.
Strategic Advisory & Stakeholder Influence
Serve as a strategic advisor to leadership on opportunity prioritization and go-to-market strategies.
Present insights, dashboards, and recommendations to senior stakeholders in a clear, compelling manner.
Facilitate cross-functional collaboration between Sales, Product, Marketing, Pricing, and Finance.
Influence decision-making through scenario analysis, business cases, and strategic storytelling.
Process Excellence & Governance
Enhance Opportunity Management frameworks, tools, and methodologies across the organization.
Improve accuracy of opportunity forecasting and pipeline visibility through data governance and process optimization.
Partner with CRM/Analytics teams to enhance dashboards, scoring models, and intelligence automation.
Establish KPIs to measure opportunity quality, conversion, and strategic impact.
Qualifications & Skills
Bachelor's/master's degree in business, Data Analytics, Strategy, Economics, or related field.
10+ years of experience in Business Analysis, Strategy, Sales Operations, Market Intelligence, or similar analytical roles.
Proven track record in opportunity identification, market analysis, competitive intelligence, and strategic insights.
Strong analytical and quantitative skills with hands-on experience in:
CRM systems (Salesforce, Dynamics, etc.)
BI tools (Power BI, Tableau, Qlik)
Advanced Excel, SQL, or analytics platforms
Exceptional communication skills with the ability to influence senior leaders.
Strong business acumen with understanding of go-to-market strategy, sales motions, and market dynamics.
Ability to work cross-functionally in fast-paced, ambiguous environments.
Experience creating business cases, financial models, and opportunity frameworks.
If I missed your call ! Please drop me a mail.
Thank you,
Harish
Talent Acquisition
Astir IT Solutions, Inc - An E-Verified Company
Email:*******************
Direct : ***********788
50 Cragwood Rd. Suite # 219, South Plainfield, NJ 07080
***************
Database Specialist-Geotechnical Focus-- NARDC5283996
Gainesville, FL jobs
This is a full-time advanced level position involving technical work with a highway materials testing application. This position maintains portions of the MAC (Materials Acceptance and Certification) system and performs advanced database functions. The position requires a highly motivated and organized employee to create customized entries while ensuring the system is consistent across materials and technical areas. Strong computer skills and experience in Microsoft programs such as Visual Studio, SQL Server Management Studio, Access, and Excel are required. Prior experience working with relational database management system (RDBMS), along with proficiency in visual basic, Structured Query Language (SQL), SQL Server Reporting Services (SSRS), and business Intelligence tools and concepts are preferred. This position will be working with the Materials Program Performance Section. It is an in-office position with no option for remote work.
Role and Responsibilities
Specific duties for the Database Information Section include the following:
Develops and maintains MAC Specifications for the Geotechnical Materials Program
Creates, revises and maintains Geotechnical Materials Program test definitions including targets and limits, and other sampling and testing requirements
Data processing using appropriate software, storage, and analysis; and prepares detailed engineering reports on findings
Works to ensure the test definitions, comparison definitions, evaluation checklists and inspection checklists are up to date while ensuring the system is consistent
Assists the Quality Systems unit with database and reporting development and maintenance
Assists the Database Information Team in data compilation and analysis.
Troubleshoots issues with data, uploads, and application programming
Assists with FDOT Service Desk tickets pertaining to MAC
Assesses MAC access requests and ensures they are processed by the appropriate District Application Coordinator
Assists with programming enhancements to MAC in compliance with the Office of Information Technology's application development standards
Assists with State Materials Office SharePoint development and maintenance including Power Apps
Qualifications and Education Requirements
High school diploma, or equivalent.
Strong computer skills and experience in Microsoft programs such as Visual Studio, SQL Server Management Studio, Access, and Excel are required. Prior experience working with relational database management system (RDBMS), along with proficiency in visual basic, Structured Query Language (SQL), SQL Server Reporting Services (SSRS), and business Intelligence tools and concepts are preferred.
Preferred Skills
Demonstrates strong communication, technical writing, and interpersonal skills
Demonstrates experience in data entry and quality review
Additional Notes
Schedule: Monday-Friday, 8:00 AM- 5:00 PM
Business Rules Support Analyst
Data analyst job at Inovalon
Overview: The Business Rules Support Analyst will be responsible for providing in-depth analysis and creation of healthcare provider business rules that will modify and edit medical claims. This role requires in-depth knowledge of medical billing and coding of insurance claims from working in the healthcare profession as either a biller or at a software clearinghouse. The Support Analyst role is a customer facing role via email, ticketing, and occasionally in video meetings.
This role requires the ability to review customer requests, ask for any clarifications from the requester and then create, test and publish custom claim edits on behalf of the client within company stated SLAs with a high level of quality. Requests can be customer initiated or medical insurance company mandates or necessary to ensure claims are paid timely. In addition, the Support Analyst will be responsible for reviewing claims that have failed to process in the system and come up with new edits to solve for outstanding changes that are needed within the system.
The Support Analyst will work as part of a team to ensure that the Inovalon clearinghouse system maintains a high level of first pass claims acceptance rate through continued monitoring and proactive research to the changing needs of insurance claims processing.
Duties and Responsibilities:
Take ownership of triaging incoming internal and external customer requests for medical claims processing changes needed.
Prioritize requests based on operational needs and escalate issues to quick resolution when needed.
Implement technical business rules for processing medical claims; including building logic statements based on specific medical insurance claims fields to modify and or change; test with medical claims and implement to live systems.
Take a collaborative role with the application support team to triage production problems involving claims processing, perform defect analysis and provide fixes in business logic to be implemented by software teams in a timely fashion, particularly with high priority items.
Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered.
Liaise with Technology and Engineering teams to resolve application issues and enhancement requests to internal tools used by the team to expand capabilities.
Ensure compliance to Company procedures when making changes and implementing new business rules.
Ensure ongoing regularly scheduled updates required for compliance are executed timely.
Responsible for accessing payer websites and compliance standards research (i.e. UB Editor, payer Companion Guides)
Review claim level and file level failures or errors ongoing to find and implement new rules as needed to ensure our first pass claim acceptance rate hits our internal goals.
Update documentation, SOPs, and training documentation as needed.
Maintain a follow up schedule for unresolved issues.
Respond to support requests through phone calls, and emails.
Assist operations with process improvement and finding solutions to business problems.
Maintain compliance with Inovalon's policies, procedures and mission statement.
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company.
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.
Job Requirements:
Required: Minimum 2 years' experience with Medical Billing in a healthcare setting, doctor's office or hospital; Preferred: Clearinghouse backend operations.
Understanding of Medicare NCDs, as well as Medicare/Medicaid MUE and CCI related billing rules
Solid understanding of Institutional and Professional claim forms, 5010 X12 files including 837, 835, 277 and 999.
Nice to have: experience in application support, SaaS experience preferred, healthcare background preferred
Being able to communicate clearly with clients; client focused and sensitive to client needs
Experience working with a ticketing system; Preferred: Service Now
Direct experience building logic rules for medical claims processing.
Excellent problem solving and analytical skills.
The ability to multi-task effectively
Education:
Bachelor's degree or equivalent work experience required.
Physical Demands and Work Environment:
Sedentary work (i.e., sitting for long periods of time);
Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
Subject to inside environmental conditions; and
Travel for this position will include less than 5% locally usually for training purposes.
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