GENERAL SUMMARY
Works with customers at all levels within the organization and with outside parties to identify operational business requirements with sufficient detail and clarity to allow business solution proposal development or to identify areas of improvement to satisfy governance and compliance regulations. Accountable for the collection of data, data analysis, documentation of information, and presentation of findings.
ESSENTIAL RESPONSIBILITIES
- Conducts analysis of client business processes and functional or reporting requirements. Prepares appropriate documentation to communicate and validate the information
- Analyzes data, evaluates existing application products or reporting methods, and recommends efficient, cost effective solutions which support client business processes and functional requirements.
- Evaluates existing processes and reporting methods. Recommends efficient, compliant solutions which support business processes and functional requirements.
- Participates in cross-functional task forces to identify and document functional or reporting requirements, work flow, information sources and distribution paths, and system specifications.
- Develops basic business cases with cost estimates, service, and benefit dimensions of proposed IT projects that are used for funding and scope decisions.
- Applies technical and business knowledge to analyze client requirements in project areas such as: IT testing and product acceptance, new business operating models with innovative approaches to IT solutions support, market research of emerging or available product functionality, operational readiness assessment, IT reporting, process documentation governance, and compliance.
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS:
- Bachelor’s degree or equivalent experience. -Previous 3+ years experience in information systems development or implementation with progressively more complex responsibilities and accountabilities in a large mainframe or client server environment. - Intermediate level with MS Excel and SQL is preferred. - Experience writing business requirements for system implementations is preferred. -Demonstrated analytical, problem solving, and documentation skills. - Project Management experience is preferred. - Demonstrated verbal, written, and presentation communication skills. - Understanding of health care business and Workers Comp Bill Review processes is preferred. - Managed Care, Workers Comp, State Fee Schedule knowledge is preferred.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Technicians
Primary Location: West Sacramento, CA, US
Other Locations: Salt Lake City-Utah-United States,Tampa-Florida-United States,Tampa-Florida-United States,
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2012-12-10 00:00:00.0
Job ID: 1211596