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Job Summary:

The Guiding Care Systems Analyst Lead is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business.

Essential Functions:

  • Review Upgrade Release notes from a Software as a Solution system, Guiding Care, to create testable stories
  • Recommend best practice solutions for Care Management, Utilization Management, and Grievance and Appeals leveraging the Software as a Solution to the full extent of its capabilities
  • Recognize inconsistencies and gaps in a complex business process
  • Through research and analysis, identify systems, possible interfaces, cross team dependencies and affected lines of business when considering solutions to existing production defects and enhancements
  • Translate business needs and technical requirements by authoring clear agile stories and features
  • Serve as a liaison between technical teams and users, stakeholders.
  • Perform root cause analysis
  • Build, sustain, and leverage relationships with persons within his/her area of immediate responsibility
  • Assist QA in preparation of test scenarios and test data
  • Sets objectives for own job with the understanding of how output would affect and impact other job areas related to own job. Contributes and provides input to the development of operational area goals within the context of own job area. Work consists of tasks that are typically not routine, works independently and applies discretion within established operational boundaries and procedures. Work direction is only provided for new areas of work or unique assignments.
  • Problems and issues faced are vague, and require reasoning and analysis to address problems and issues. Updates and/or modifies work methods based on past experiences, and identifies solutions to problems by recognizing similarities through data trends. Has higher autonomy to arrive at solutions to non-routine problems within established operational boundaries and procedures. Uses personal experiences, makes reasonable judgment calls, and may call on other resources where necessary to identify solutions.
  • Perform any other job duties as requested
Education and Experience:
  • Bachelor's degree in Computer Science, Information Systems, Business Administration or related field or equivalent years of relevant work experience is required
  • Five (5) years of experience in Care Management, Utilization Management, Clinical Technologies, or Grievance and Appeals is preferred
  • Five (5) years of experience in requirements management is preferred
  • Five (5) years of experience working with Guiding Care or other similar enterprise systems is preferred
  • Five (5) years of experience with the healthcare environment (Medicaid/Medicare) is preferred
  • Three (3) years agile experience is preferred
  • Three (3) years' experience in Azure Dev Ops or Jira is preferred
Competencies, Knowledge and Skills:
  • Ability to establish effective working relationships with stakeholders at all different levels
  • Proficient in all areas of requirements elicitation (facilitation, process modeling, requirements documentation)
  • Experience in creating and writing technical specifications within an agile framework: Epic, Feature, Story, and Task; understands key components of good story writing to enable adaptation of standard industry formats and approaches for effective use
  • Understanding of project lifecycles coupled with the software development lifecycle, including processes, techniques, continuous delivery, tools agile, test driven development, and waterfall
  • Thorough understanding of business analysis principles
  • Flexibility during organizational and/or business changes
  • Effective problem-solving skills with attention to detail
  • Ability to develop, prioritize and accomplish goals
  • Strong interpersonal skills including excellent written and verbal communication skills; listening and critical thinking
  • Ability to effectively prioritize and execute tasks while working both independently and in a team-oriented, collaborative environment
Licensure and Certification:
  • Certifications around our core technical systems is preferred; Facets, CCA, SAP,CRMs or other similar Enterprise systems that mimic those CareSource invests in
  • Certifications around Agile, SAFE, or the Business or System Analyst role is preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$90,500.00 - $158,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):
Salary

Organization Level Competencies
  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business


This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

Read the full job description and apply online on the recuiter's web-site

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