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Department(s): ITS- Enterprise Data Management
Reports to: Manager, Information Technology Services
FLSA status: Non-Exempt
Salary Grade : N - $95,000 - $155,078
Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Tuesday, January 09, 2024, at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. ****
About CalOptima Health
Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you’re looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health!
About the Position
The ITS Analyst Sr (Electronic Data Interchange (EDI)) will facilitate the coordination and integration of program related activities through vendor-supported and in-house developed software. The incumbent will define system scope, objectives, and business requirements to meet user needs, assist business customers in making informed decisions regarding the development, configuration, and functionality of various application, and provide technical consulting to end users on systems projects. The incumbent will provide coordination and services relevant to key functions of software supported by the Information Technology Services (ITS) department, which supports a variety of end users and software, usually provided by a third-party vendor. The ITS Analyst Sr will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact.
Duties & Responsibilities:
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Analyzes program logic with upgrades to vendor changes as well as technical infrastructure impacts.
- Works with in-house development staff or vendor and business department to devise or modify procedures to solve complex problems.
- Develops, generates, and maintains standard, custom, and ad-hoc documentation, including reports and/or queries from the applicable source system.
- Monitors, audits, and administers database integrity and security; researches and recommends solutions to system issues.
- Designs, analyzes, and maintains system configuration data and new ITS modules, work process design and flow.
- Assists in identifying new application requirements and software products to fulfill needs.
- Makes alterations to maximize programs/technology to meet business requirements within the constraints of the system; makes recommendation for data storage, test plans, user documentation.
- Produces ITS solutions for assigned projects.
- Works closely with vendor(s), requesting business department, ITS staff and other users to research and resolve system and/or user problems.
- Act as a liaison between relevant internal ITS and business departments, application development staff and trading partner community.
- Performs functional configuration tasks for ITS modules and tables to satisfy requests for fixes, changes, and enhancements; tests and troubleshoots related issues.
- Participates in the design and implementation of new ITS modules and other system enhancements.
- Investigates, analyzes, and makes recommendations for process flow, data storage, test plans, user documentation and training.
- Completes other projects and duties as assigned.
Experience & Education:
- Bachelor’s degree in Information Services or related field required.
- 5 years of healthcare EDI experience with an understanding of healthcare EDI standards (X12) and transactions sets required.
- 5 years background in ITS related to health services required.
- 5 years of ITS technical application support experience required.
- 5 years of computer hardware and/or software troubleshooting techniques and system support required.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
Preferred Qualifications:
- Experience with Project Management Software Development Life Cycle (SDLC) methodologies such as Waterfall or Agile.
- Experience with system interfaces and an understanding of data mapping.
- Experience with SQL Server 2016.
Physical Demands and Work Environment:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Physical demands: While performing duties of job, employee is required to move about the organization. Employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Must also be able to reach with hands and arms and must occasionally lift some office supply boxes. Employee must be able to communicate, particularly for regular phone use.
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Work Environment: Typical office environment with minimal noise levels and controlled office temperatures.
About our Benefits & Wellness options:
At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.
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CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. __
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CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
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If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
Required Skills
Required Experience
Qualifications:
Minimum Education:
High School Graduate or equivalent.