Job description

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

JOB SUMMARY:
Responsible for application support for Centers Plan for Healthy Living (CPHL) core systems (e.g., Medical Management, Claim, Data Warehouse, etc.). Reviews and resolves staff issues related to applications. Monitor jobs and file transfers to ensure they are successful and independently resolve any issues by working with business areas and vendors when applicable.

PRIMARY RESPONSIBILITIES:

• Provide application support and trouble shoot incoming issues, determine root cause of the issue and with business systems analysts and business areas participate in the development of the solution.
• Review issues for commonality, recommend system changes to mitigate issues, document and test solutions.
• User setup of new accounts, termination of accounts and password resets.
• Liaison with vendors for application issues.
• Manage file transfers between systems. Recommend, document and test process improvements.
• Review error reports, troubleshoot and independently decide on the best course of resolution, resolve issues and documents them.
• Participates in standing meetings as necessary, including but not limited to data warehouse, medical management system, claims system and team building.
• Performs other duties and special projects as assigned by manager.

EDUCATION AND EXPERIENCE:
Education

Required: BA/BS degree in Information Systems or equivalent IT experience

Preferred:
Type of Experience
Required: 1+ years of IT experience, preferably in a Medicaid/Medicare, MLTC environment,
Preferred: Healthcare experience
Specific Technical Skills
Required: Proficiency with MS applications, including but not limited to Word, Excel, Outlook, Power Point, Project and Access
Strong telephonic and customer service skills
Preferred: n/a

Certifications/Licensure:
Required: n/a

Knowledge and Skills:

• Effective presentation skills
• Excellent verbal and written communication skills
• Must be able to participate in meetings with all levels of management within the organization
• Detail oriented, excellent follow up
• Ability to multi-task in a fast paced environment
• Must be service oriented, quick learner, team player
• Appreciation of cultural diversity

SCOPE INFORMATION
# Direct Reports: n/a

PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.

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