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Home > Job > Application Analyst III D-SNP SystemsWe have an opportunity to join the Alliance as a Application Analyst III D-SNP Systems in the Application Services Department.WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the EDI Manager, this position:Leads and performs complex systems configuration, research, and analysis to support and maintain state policy and procedure for D-SNP systems, including eligibility, enrollment, and Customer Relationship Management (CRM) integration, ensuring alignment with regulatory requirementsConducting analysis of Alliance business procedures, performance of low- to high-level complexity systems configuration, conducting related research, and staff trainingAnalyzing and optimizing data workflows to ensure accurate, timely, and compliant data exchanges between internal applications, external vendors, state, and federal agencies, with a focus on operational and regulatory complianceABOUT THE TEAMThe applications we build, purchase, integrate and customize are what allows the Alliance staff, members, and providers to connect with each other effectively and efficiently in order to optimize health care delivery. Deploying these tools is just one phase of our ongoing work. We also focus on health care technology innovation in line with the ever-changing health care landscapeTHE IDEAL CANDIDATEExperience with Alliance core and ancillary systemsExperience working with methodologies such as Application Lifecycle Management and various project management methodologies and best practicesThorough knowledge of Medicaid/Medicare Programs, the methods of product configuration in a Medicaid/Medicare environment, and the medical terminology, related procedures, and national diagnostic codingWorking knowledge of health care regulatory policies, principles of health care planning and administration, health care data analytics, State and Federal Legislative processes, Medicare DSNP and Medi-CalSome knowledge of Agile/Scrum development environmentsWHAT YOU'LL NEED TO BE SUCCESSFULTo read the full position description, and list of requirementsclick here .Knowledge of:the principles and practices of technical/technology implementation processes, including the integration of systems and the application of information managementresearch, analysis, reporting methods, performance metrics and statisticsMedicaid/Medicare Program, the methods of product configuration in a Medicaid/Medicare environment, and medical terminology, related procedures, and national diagnostic codingAbility to: analyze and write process maps, work instructions, and documentationtranslate business requirements into detailed product requirementsdemonstrate flexibility and creativity and to effectively adapt to changeEducation and Experience: Bachelor's degree in Business Administration, Health Care, Information Technology, Information Science, or a related field and a minimum of five years (or a Master's degree and three years) of D-SNP product configuration experience which included some experience related to staff training and a minimum of three years of experience in a managed health care environment; or an equivalent combination of education and experience may be qualifyingOTHER INFORMATIONWe are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.The full compensation range for this position is listed by location below.The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego areaTypical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka areaZone 1 (Monterey, San Benito and Santa Cruz)OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.Medical, Dental and Vision PlansAmple Paid Time Off12 Paid Holidays per year401(a) Retirement Plan457 Deferred Compensation PlanRobust Health and Wellness ProgramOnsite EV Charging StationsABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet .The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employerAt this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.Deaf and Hard of Hearing Assistance AllianceTTY Line: 877-###-####The Alliance Nurse Advice Line844-###-#### (TTY) or dial 71124 hours a day, 7 days a week#J-18808-Ljbffr