Company Description:
Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.
We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.
Position Responsibilities:
Specific
- Supports the managed care health plan operations by leveraging their expertise with ZeOmega's Jiva platform.
- Analyzes business processes, identifying areas for improvement, and implementing solutions to enhance efficiency and effectiveness.
- Collaborates with cross-functional teams, including IT, clinical staff, and management, to ensure the Jiva system meets organizational needs and regulatory requirements.
- System Analysis and Support:
- Serve as the primary contact for all Jiva-related queries and issues.
- Conduct detailed analysis of the Jiva system to understand current functionality and identify opportunities for optimization.
- Configure and customize the Jiva platform to meet the specific needs of the managed care health plan.
- Business Process Improvement:
- Analyze current business processes and workflows to identify inefficiencies.
- Develop and implement strategies to improve operational processes using Jiva.
- Create and maintain documentation for all business processes and system configurations.
- Project Management:
- Lead and manage projects related to Jiva system enhancements and updates.
- Coordinate with internal teams and external vendors to ensure timely project delivery.
- Monitor project progress and provide regular updates to stakeholders.
- Training and Support:
- Develop and deliver training programs for staff on the use of the Jiva platform.
- Provide ongoing support and troubleshooting assistance to system users.
- Ensure all users are adequately trained and proficient in using Jiva.
- Data Management and Reporting:
- Ensure data integrity and accuracy within the Jiva system.
- Develop and generate reports to provide insights into system usage and performance.
- Analyze data to identify trends, issues, and areas for improvement.
- Regulatory Compliance:
- Ensure that the Jiva system complies with all relevant regulations and standards.
- Keep abreast of changes in healthcare regulations and assess their impact on the system.
- Implement necessary updates and changes to maintain compliance.
General
- Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
- Identifying areas for process improvement, and developing/ implementing solution
- Leading review and writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.
- Identifying opportunities for workflow optimization, efficiency and automation
- Staying up-to-date on the latest process and IT advancements to automate and modernize systems
- Conducting meetings and presentations to share ideas and findings
- Performing requirements analysis
- Documenting and communicating the results
- Recommend alert and reporting requirements
- Leverage technical skills, coupled with business intelligence and a deep understanding of the customer's needs to transform information into application and operational requirements
- Effectively communicating insights and plans to cross-functional team members and management
- Gathering critical information from meetings with various stakeholders and producing useful reports
- Ensuring options are evaluated and presented to meet business needs and requirements
- Performing user acceptance testing
- Basic knowledge in generating process documentation
- Strong written and verbal communication skills including technical writing skills
- Updating, implementing, and maintaining procedures
- Prioritizing initiatives based on business needs and requirements
- Serving as a liaison between stakeholders, business units, technology teams and support teams
- Managing competing resources and priorities
- Monitoring deliverables and ensuring timely completion of projects
Position Qualifications:
Competencies:
- Strong analytical and problem-solving skills
- Excellent project management and organizational abilities
- Proficient in data analysis and reporting tools
- Strong communication and interpersonal skills
- Ability to work collaboratively with cross-functional team
- Experience with healthcare regulatory requirements and standards
- Certification in Business Analysis (CBAP) or Project Management (PMP)
Experience:
- Bachelor’s degree in Business Administration, Healthcare Management, Information Systems, or a related field
- Minimum of 3-5 years of experience as a Business System Analyst in a managed care or health plan environment
- Extensive experience with ZeOmega's Jiva platform
- Proven track record of managing and implementing system changes and improvements
Physical Requirements:
- Must be able to sit in a chair for extended periods of time
- Must be able to speak so that you are able to accurately express ideas by means of the spoken word
- Must be able to hear, understand, and/or distinguish speech and/or other sounds in person, via telephone/cellular phone, and/or electronic devices
- Must have ample dexterity which allows entering of text and/or data into a computer or other electronic device by means of a keyboard and/or mouse
- Must be able to clearly use sight so that you are able to detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, and/or assess data or other information types
- Must be able to fluently communicate both verbally and in writing using the English language
Time Zone: Eastern or Central
Other Information:
- Expected Hours of Work: Friday 8 am – 5 pm; with ability to adjust to Client schedules as needed
- Travel: May be required, as needed by Client
- Direct Reports: None
- Salary Range: $90,000 – $130,000
EEO Statement:
It is Clearlink Partners’ policy to provide equal employment opportunity to all employees and applicants without regard to race, sex, sexual orientation, color, creed, religion, national origin, age, disability, marital status, parental status, family medical history or genetic information, political affiliation, military service or any other non-merit-based factor in accordance with all applicable laws, directives and regulations of Federal, state and city entities. This salary range reflects the minimum and maximum target wage for new hires of this position across all US locations. Individual pay will be influenced by Experience, Education, Specialized Soft Skills, and/or Geographic location.