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Clinical Information Systems Specialist (PEGA/CCA/LTSS) - REMOTE
Clinical Information Systems Specialist (PEGA/CCA/LTSS) - REMOTEMolina Healthcare • Detroit, Michigan, United States
Clinical Information Systems Specialist (PEGA / CCA / LTSS) - REMOTE

Clinical Information Systems Specialist (PEGA / CCA / LTSS) - REMOTE

Molina Healthcare • Detroit, Michigan, United States
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JOB DESCRIPTION

Job Summary

Provides support for development of educational / training content and resources for clinical systems applications / platforms. Responsible for implementation and training delivery for utilization management, care management, long-term services (LTSS), behavioral health, and other applicable clinical systems functions. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Responsible for research, workflow analysis, content development, training, implementation, and on-going support of the electronic medical record (EMR) / practice management (PM) application (clinical systems applications / platforms).

Identifies, troubleshoots, and documents clinical system platform EMR / PM system functionality issues.

Creates and provides training related to the clinical system platform EMR / PM application for impacted individuals.

Escalates and responds to application malfunctions to related groups such as information technology and help desk support.

Performs research and analysis of customer-initiated inquiries and requests, utilizing technical tools as necessary and solutioning to enhance the end user experience.

Fields direct questions from Molina operations staff regarding business, technical and operations rules to the appropriate product owners / teams.

Creates, presents, and executes test cases in accordance with the requirements of the solution / project.

Understands changes in process that may impact the customer, and notifies the customer of such changes well ahead of their implementation through educational resources.

Collaborates with team members, leaders, and stakeholders to develop and design training content, including identification of goals, objectives, critical success factors and success measures.

Reeducates staff via group facilitation and / or individual coaching when deficiencies in performance are identified to mitigate skill gaps.

Educates users on system functionality and navigation.

Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply their skills and knowledge on the job.

Maintains working knowledge of state-specific regulations to ensure references and resources are included in training materials.

Serves as a subject matter expert on assigned clinical system platforms / applications. Consults with clinical organizations across

Molina to understand clinical business training needs.

Applies critical-thinking skills and breaks down complex information into simplified categories so it is easier for learners to understand and apply.

Evaluates training effectiveness to ensure staff understanding and readiness - analyzing and determining training needs / problems and providing clear and timely verbal and written feedback on issues to team members and leadership.

Participates in committees and / or workgroups as a liaison between training teams and workgroups to ensure alignment with training and influence best practices.

Evaluates analytical data on end user application of clinical systems to identify training opportunities and trends.

Required Qualifications

At least 2 years experience in clinical systems analysis, and 1 year experience in a care management, utilization management, behavioral health, medical, or managed care setting, or equivalent combination of relevant education and experience.

Proficient in clinical systems implementation, integration, and administration content development.

Ability to work in a project team setting while also able to complete tasks individually within the provided timeline / accelerated timeline to meet desired deployment deadlines.

Strong detail orientation.

Organization and time-management skills.

Analytical and problem-solving skills.

Strong interpersonal skills.

Excellent verbal and written communication skills.

Microsoft Office suite / applicable software program(s) proficiency.

Preferred Qualifications

Training delivery and / or development experience, to include adult learning concepts.

To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

#PJClaims

Pay Range : $77,969 - $117,809 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
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