Sr Business Application Analys

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

JOB SUMMARY:

Responsible for understanding the business and business requirements in relation to applications / systems, reporting, and processes. Research system / application issues, recommends solutions, and coordinate system / application modifications to correct issue. Works with business units to clarify new requests and interpret needs. Provides functional system /application knowledge, as well as technical expertise for specified system / applications. The job includes significant or complex system configuration, process design, data analysis and issue resolution.

Assist with the development of standards and best practices, design of user guides / procedures.

Job Specifications and Core Competencies:

• Provides support and monitoring for assigned systems/application and processes by supporting business staff with troubleshooting and maintenance of systems/applications. Serves as a point of escalation for system/application issues and provides regular status to Leadership. Provides minor programming such as reports or database queries. Serves as a liaison and facilitator between system/application support resources and infrastructure resources in addressing and resolving IT application and process issues. Confers with the business to analyze current operational procedures and trends and identify problems
• Provides analysis of systems/application use, issues, and data capture. Develops ad hoc reports to conduct data analysis and validation. Applies application and data governance knowledge when determining data requirements. Designs data schemas, data flows, and defines associated attributes. Performs data analysis, documentation, and verification of data types and supported data transport formats (flat-files, XML, JSON). Researches, evaluates, and assess the impact of issues related data discrepancies.
• Supports projects, systems/applications implementations and upgrades and quality assurance measures. Works closely with solution architects and project managers to assist in defining project features and activities. Assists in planning and coordination of system/application upgrades and releases, including development and execution of some test cases. Participates in project defect resolution of business applications. Develops training and materials/documentation for users relevant to the implementation of new processes, workflows, and functions. Performs system integration testing for conformance to functional and performance requirements.
• Demonstrates efficiencies of the new system and provides feedback to Leadership. Provides technical expertise and recommendations in assessing new IT software projects and initiatives to support and enhance our existing systems/applications.
• Performs business configuration and process analysis and identifies improvements. Analyzes requirements, procedures, and problems to automate processing or to improve existing business applications and processes. Facilitates elaboration of business request by applying knowledge and experience to ensure appropriate information has been provided and acceptance criteria defined. Facilitates workflow/business process mapping sessions with business identifying changes required. Works in a consultative capacity for business units and technical staff. Understands health plan’s environments and how systems / applications can be used to increase efficiencies, cost effectiveness, business value, and quality of care. Works with internal and external stakeholders to understand business objectives and processes clearly defining and separate business rules, functional and data requirements.
• Actively contributes to achievement of departmental goals, as identified in Department’s annual business plan, including specific departmental process improvement plans and other duties as assigned.

MINIMUM QUALIFICATIONS:

• Bachelor's Degree in Business, Information Technology, Computer Information Systems, Systems Engineering, related fields or four (4) years of related work experience may substitute for the bachelor’s degree.

Work Experiece:

• 2 years of experience in information systems

Work Schedule: Flexible

Other Requirements: Knowledge:

• Knowledge of Microsoft technologies, troubleshooting application issues and errors
• Strong SQL Server experience.
• Strong knowledge of technical and business analysis
• Knowledge of relational databases, web and client-server concepts
• Knowledge of the healthcare industry in general and specifically of the health insurance environment is preferred.
• Knowledge of ETL Tools and Techniques
• Understanding analyzing, documenting, and providing resolution for assigned complex issues.

Preferred Knowledge:

• Knowledge of the healthcare industry in general and specifically of the health insurance environment is preferred.

Skills:

• Strong business analysis and analytical, problem-solving, organization, and customer service skills. Strong communication and presentation skills (both oral and written).
• Ability to work independently and be effective in ambiguous and/or changing situations.
• Identify and diagnose unknown/unmet, complex issues.
• Creatively formulate solution options for complicated problems
• Understand design principles across multiple problems / solutions
• Perform Report development
• Write complex T-SQL queries
• Ability to work with the following Microsoft technologies:
• Microsoft SQL Integration Services, SQL Server Analysis Services and SQL Server Reporting Services, and Internet Information Services
• Microsoft SQL Server 2008+
• Microsoft Office suite, with strengths in Excel, Word, and Visio
• Microsoft Team Foundation Server
• Ability to work with IS resources, server administrators, database administrators, solution architects and developers

Preferred Skills:

• Ability to work with the Microsoft SharePoint is preferred.

RESPONSIBLE TO:
Manager

EMPLOYEES SUPERVISED:
None

Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

Harris Health System's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.

It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.