HEDIS Analyst

TagStaff
AZ, United States
Full-time
Quick Apply

The IS Application Systems Administrator III is responsible for managing corporate applications, as well as designing and implementing effective application solutions in support of business strategies.

This role is essential in executing and maturing the company applications system support model. This position spends substantial time partnering with business leaders, architecting, implementing, and administering IS policies and systems (plan, design, install, and maintain).

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Responsibilities :

  • Lead the design and maintenance of highly reliable server-side applications, including but not limited to the Microsoft environment, enterprise applications, custom-built applications, data backup systems, and cloud services.
  • Provide expertise in application systems software / hardware technology to the company, and participate in and consult on projects.
  • Advise other IS teams on best practices for application / process design.
  • Manage the maintenance of the enterprise application portfolio and inventory.
  • Serve as a resource to developing administrators.
  • Execute tasks related to tickets and service requests for advanced to complex server-side activities, and provide escalation support for compute tickets.
  • Oversee the maintenance of application and server software, such as updates and upgrades.
  • Analyze business needs; partner with leaders across the organization to research and recommend solutions that balance business needs and risk mitigation.
  • Oversee the configuration and customization of application systems.
  • Define, run, and review reports on applications performance and event anomalies; ensure internal adjustments are made substantial gaps documented and elevated to management.
  • Develop and maintain appropriate applications documentation, including current design and operation.
  • Monitor and ensure quality of data transmissions.
  • Oversee the configuration of user account access to applications as needed.
  • Participate in an after-hours on-call rotation.
  • Author and serve as subject matter expert to define requirements and standards for application selection and deployment.
  • Monitor and continually review existing applications systems to ensure they are designed to comply with established standards and to empower business operations.
  • Develop and maintain support policies and procedures.
  • Assist with the development and management of application / database security policies and systems, such as web applications and SQL server security.
  • Assist with the development and management of file exchange policies and systems, such as FTP.
  • Lead the planning for and supporting disaster recovery and business continuity initiatives.
  • Establish and manage relations with external partners and application vendors including installation and repair of services.
  • Conduct product and vendor research, and present recommendations to team and / or management.
  • Maintain service contracts and licensing; effectively negotiate with outside parties; escalate issues as needed.

Qualifications :

  • At least 3 years of applications installation, administration and upgrade exp
  • At least 3 years of Cotiviti experience
  • At least 2 years HEDIS exp to include Stars and / or HEDIS measures
  • At least 2 or more years experience of the following :
  • Enterprise applications infrastructure design, including performance management and cost metrics
  • Scripting and automation
  • Cloud and "as a Service" offerings
  • MS operating systems
  • ITIL concepts
  • Concepts of Managed Care
  • Project management practices
  • Systems integration and data flow

Equal Employment Opportunity Policy

Talent Advisory Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

2 days ago
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