5 jobs found

This position, within the Enterprise Systems Analyst job family of IT, will have the primary responsibility of providing technical support and development within the IBM Maximo platform. The ideal candidate will have expert level technical knowledge of the Maximo application while also possessing a balance of excellent customer service skills and general technical abilities. Responsibilities for any and all Enterprise applications will evolve throughout the years as business and IT support needs change. Desired is a candidate with an ability to listen to customer needs and takes action to design/implement/test systems/solutions that exceed customer requirements. The ideal candidate will be technical, a self-starter, a communicator and an employee who thrives on multi-tasking. The Enterprise Systems Analyst is responsible for conducting comprehensive system analysis, designing and implementing appropriate information systems in accordance with the company's overarching information systems architecture. This role requires a deep understanding of business needs, system requirements, and the ability to recommend and execute technology solutions to improve business processes. The analyst will specialize in a set of enterprise applications including systems such as Maximo, Infor, SharePoint, etc. or business areas such as O&M, finance/accounting, HR, supply chain, etc. Key tasks include but are not limited to collecting and analyzing information from system users, identifying business needs, estimating the cost of system solutions, and preparing project plans. The Enterprise Systems Analyst will also be responsible for building and developing application tables/panels/reports, troubleshooting and resolving testing issues, providing tier 2 and tier 3 support to end users, and conducting research to identify possible system solutions. This position requires a strong customer service focus, positive attitude, and excellent oral and written communications skills. Responsible for compliance with all applicable laws, regulations, industry standards, corporate policies, guidelines and procedures, including but not limited to, RUS, OSHA, SOX, NERC, FERC and ITS requirements. Promotes an environment of compliance and continuous improvement to meet the Corporation's goals and objectives. Job Duties: System Implementation & Support: Implements and configures Enterprise System applications, develops external interfaces, troubleshoots testing issues, and provides tier 2 and tier 3 support to end users. System Analysis & Design: Collects and analyzes information from system users, identifies business needs, and formulates the scope and objectives of the system. Translates business requirements into application requirements. Project Management & Planning: Prepares project plans, coordinates resources, and manages consultants in system development and problem-solving techniques. Assists IT and customer director level management with the project approval process. Documentation & Research: Prepares and maintains technical documentation, conducts research to identify possible system solutions, and documents the relationships between the components of the application system. Standards Development: Coordinates the development of standards and standard procedures to support a productive, secure, efficient Enterprise Application environment. Continuous Improvement: Engages in continuous improvement activities to enhance system performance and reliability. Provides technical expertise across the IT function. Required Qualifications: Education: Bachelor's degree in Computer Science, Computer Engineering, Engineering, Information Systems, or a related field from an accredited college or university. Experience: Level III - Minimum of 4 years in designing and managing Enterprise systems, conducting system assessments, and troubleshooting. Level IV - Minimum of 6 years in designing and managing Enterprise systems, conducting system assessments, and troubleshooting. Level V - Minimum of 8 years in architecting and managing Enterprise systems, conducting system assessments, and troubleshooting. Equivalent Experience: Level III - Minimum of 8 years of relevant experience may also be considered. Level IV - Minimum of 10 years of relevant experience may also be considered. Level V - Minimum of 12 years of relevant experience may also be considered. Responsibility: Level III - Independently manages Enterprise systems, implements new initiatives, and conducts system assessments and troubleshooting. Begins to lead small projects and works closely with other teams to ensure seamless integration and operation of systems. Level IV - Leads projects for the design, deployment, and management of Enterprise systems. Takes on a leadership role in system design and troubleshooting, and provides technical support across the IT function. Level V - Oversees major projects for the design, deployment, and management of Enterprise systems. Provides leadership in system design and troubleshooting, and provides expert technical support across the IT function. Licenses, Certifications, and/or Registrations: The following relevant certifications are a plus: Project Management Professional (PMP) Certified Business Analysis Professional (CBAP) Specialized Skills: Technical Expertise: Extensive experience with Enterprise systems implementation and management. Proficiency in project management and system analysis. Strong knowledge of business process improvement and quality assurance. Tools and Technologies: Experience with project management tools and methodologies. Familiarity with various Enterprise systems and solutions. Proficient in documentation and reporting Proficient in scripting languages (JavaScript, Python). Experience with ITSM tools such as ServiceNow, Ivanti ITSM, etc. Security: In-depth understanding of data/program security best practices. Experience with security tools and technologies. Other: Knowledge of ITIL processes and best practices. Experience in managing third-party vendors and contracts Experience in managing and leveraging APIs, REST services, etc. Soft Skills: Excellent problem-solving/analytical skills and attention to detail. Excellent oral and written communication and interpersonal skills. Excellent customer service focus and positive attitude. Ability to work independently and as part of a team. Georgia System Operations Corporation is an Equal Employment Opportunity Employer, including veterans and disabled. We are a drug-free workplace. All applicants are subject to substance abuse testing.

This position, within the Enterprise Systems Analyst job family of IT, will have the primary responsibility of providing technical support and development within the IBM Maximo platform. The ideal candidate will have solid technical knowledge of the Maximo application while also possessing a balance of excellent customer service skills and general technical abilities. Responsibilities for any and all Enterprise applications will evolve throughout the years as business and IT support needs change. Desired is a candidate with an ability to listen to customer needs and takes action to design/implement/test systems/solutions that exceed customer requirements. The ideal candidate will be technical, a self-starter, a communicator and an employee who thrives on multi-tasking. The Enterprise Systems Analyst is responsible for conducting comprehensive system analysis, designing and implementing appropriate information systems in accordance with the company's overarching information systems architecture. This role requires a deep understanding of business needs, system requirements, and the ability to recommend and execute technology solutions to improve business processes. The analyst will specialize in a set of enterprise applications including systems such as Maximo, Infor, SharePoint, etc. or business areas such as O&M, finance/accounting, HR, supply chain, etc. Key tasks include but are not limited to collecting and analyzing information from system users, identifying business needs, estimating the cost of system solutions, and preparing project plans. The Enterprise Systems Analyst will also be responsible for building and developing application tables/panels/reports, troubleshooting and resolving testing issues, providing tier 2 and tier 3 support to end users, and conducting research to identify possible system solutions. This position requires a strong customer service focus, positive attitude, and excellent oral and written communications skills. Responsible for compliance with all applicable laws, regulations, industry standards, corporate policies, guidelines and procedures, including but not limited to, RUS, OSHA, SOX, NERC, FERC and ITS requirements. Promotes an environment of compliance and continuous improvement to meet the Corporation's goals and objectives. Job Duties: System Implementation & Support: Implements and configures Enterprise System applications, develops external interfaces, troubleshoots testing issues, and provides tier 2 and tier 3 support to end users. System Analysis & Design: Collects and analyzes information from system users, identifies business needs, and formulates the scope and objectives of the system. Translates business requirements into application requirements. Project Management & Planning: Prepares project plans, coordinates resources, and manages consultants in system development and problem-solving techniques. Assists IT and customer director level management with the project approval process. Documentation & Research: Prepares and maintains technical documentation, conducts research to identify possible system solutions, and documents the relationships between the components of the application system. Standards Development: Coordinates the development of standards and standard procedures to support a productive, secure, efficient Enterprise Application environment. Continuous Improvement: Engages in continuous improvement activities to enhance system performance and reliability. Provides technical expertise across the IT function. Required Qualifications: Education: Bachelor's degree in Computer Science, Computer Engineering, Engineering, Information Systems, or a related field from an accredited college or university. Experience: Level I - Entry-level position. Existing exposure to Enterprise systems implementation, project management, and general system support is expected. Level II - Minimum of 2 years in managing Enterprise systems, conducting system assessments, and troubleshooting. Level III - Minimum of 4 years in designing and managing Enterprise systems, conducting system assessments, and troubleshooting. Equivalent Experience: Level I - Minimum of 4 years of relevant experience may also be considered. Level II - Minimum of 6 years of relevant experience may also be considered. Level III - Minimum of 8 years of relevant experience may also be considered. Responsibility: Level I - Assists in the implementation and support of Enterprise systems. Participates in system assessment and troubleshooting with some supervision. Level II - Independently manages Enterprise systems and assists in the planning and implementation of new initiatives. Begins to take on more complex system assessment and troubleshooting tasks. Level III - Independently manages Enterprise systems, implements new initiatives, and conducts system assessments and troubleshooting. Begins to lead small projects and works closely with other teams to ensure seamless integration and operation of systems. Licenses, Certifications, and/or Registrations: The following relevant certifications are a plus: Project Management Professional (PMP) Certified Business Analysis Professional (CBAP) Specialized Skills: Technical Expertise: Extensive experience with Enterprise systems implementation and management. Proficiency in project management and system analysis. Strong knowledge of business process improvement and quality assurance. Tools and Technologies: Experience with project management tools and methodologies. Familiarity with various Enterprise systems and solutions. Proficient in documentation and reporting Proficient in scripting languages (JavaScript, Python). Experience with ITSM tools such as ServiceNow, Ivanti ITSM, etc. Security: In-depth understanding of data/program security best practices. Experience with security tools and technologies. Other: Knowledge of ITIL processes and best practices. Experience in managing third-party vendors and contracts Experience in managing and leveraging APIs, REST services, etc. Soft Skills: Excellent problem-solving/analytical skills and attention to detail. Excellent oral and written communication and interpersonal skills. Excellent customer service focus and positive attitude. Ability to work independently and as part of a team. Georgia System Operations Corporation is an Equal Employment Opportunity Employer, including veterans and disabled. We are a drug-free workplace. All applicants are subject to substance abuse testing.

Immediate need for a talented Business Analyst . This is a 03+months contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-11463 Pay Range: $38/hr - $42/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Develop policy enforcement requirements based on medical and claim payment policy criteria. Types of enforcement include but are not limited to claim system, prior authorization, desk level procedures, and post-payment review. Collaborate with internal business colleagues within the department to gain an understanding of policy criteria, and medical coding rules, to assess systems capabilities. Collaborate with other departments and external vendors to ensure the accurate implementation of policies according to business requirements. Identify policies that require manual review of policy criteria when systematic enforcement is not an option or not recommended. Provide timely documented feedback on issues identified at the system level and execute escalation procedures, including corrective action plans, as applicable. Provide quality assurance through development and review of claims data utilization reports to ensure assigned policies are enforced according to business requirements. Provide review and resolution of claims incidents resulting from policy set-up issues. Follow-through until all impacted claims are identified and adjusted and provide proper reporting. Perform root cause analysis to determine source of policy set-up issues. Perform User Acceptance Testing in collaboration with external vendor. Provides input to regulatory and other oversight teams regarding adherence to compliance requirements (e.g. CMS, BlueCard processing rules, Product Rules, denial messaging, member/provider liability). Interact with all levels of associates and management within the Company and with outside contractors, consultants and other organizations. Performs additional related duties as assigned. Key Requirements and Technology Experience: Bachelor's degree in relevant discipline or equivalent work experience. Current coding certification (CCS, CPC, RHIA, RHIT) desirable but not required Minimum of five years related Claims, Operations or Business Requirement Development experience. Must be able to work independently, prioritize workload, meet deadlines, and to assess the criticality of issues. Effective time management, shown through the ability to prioritize deliverables and communicate realistic timeframes for resolution. Strong problem-solving skills, with a key attention to detail. Solid written and verbal communication skills. Proven competency with various business tools, such as Microsoft Excel, Word, PowerPoint, SharePoint, and Teams. Working knowledge of the organization, business processes, and claims end to end process. Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. 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. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here .

Job Title Quality Assurance Analyst (Healthcare / Medicaid) Overview / Summary Seeking two Quality Assurance Analyst Consultants to support the modernization of the Medicaid Management Information System (MMIS). This role works on complex, large-scale projects in collaboration with the Project Management Office (PMO). Candidates will be involved in testing technical solutions, developing test strategies, and ensuring software quality across enterprise systems. Key Responsibilities Perform testing on technical solutions to identify, isolate, and resolve issues Develop test plans, QA processes, User Acceptance Testing (UAT) strategies, and test cases Translate business requirements and policy documentation into test cases and scenarios Maintain SDLC traceability from test cases to requirements and system components Conduct user interface and regression testing Test applications for reliability, stability, and usability, including negative testing Design and execute automated testing scripts with oversight Participate in defect triage, retesting, and issue resolution Create QA documentation and status reports on defects and testing progress Communicate testing results, issues, and gaps to development teams Follow established testing governance, standards, and best practices; recommend improvements Participate in reviews, walkthroughs, and inspections in alignment with governance standards Required Qualifications Bachelor's degree in technical, business, healthcare, or related field (or 5+ years of QA experience in lieu of degree) 5+ years of experience translating business requirements or policy documentation into test cases and scenarios 5+ years of experience working with large enterprise or e-business systems 3+ years of experience in healthcare operations (preferably Medicaid) and business processes 3+ years of experience communicating and reporting testing status, issues, and gaps to development teams 3+ years of hands-on experience with formal test design tools 3+ years of experience using manual or automated testing tools such as Azure DevOps or Atlassian JIRA and Confluence 3+ years of experience working within SDLC environments, including waterfall and Agile methodologies Preferred Qualifications Technical and/or Project Management certifications from recognized organizations What Makes HTC A Great Place To Build Your Future HTC Global Services wants you to join our team. Come build new things with us and advance your career. At HTC Global, you'll collaborate with experts, work alongside clients, and be part of high-performing teams driving success together. You'll have long-term opportunities to grow your career and develop skills in the latest emerging technologies. At HTC Global Services, our employees have access to a comprehensive benefits package. Benefits can include Group Health (Medical, Dental, and Vision), Paid Time Off, Paid Holidays, 401(k) matching, Group Life and Disability insurance, Professional Development opportunities, Wellness programs, and a variety of other perks. Our success as a company is built on inclusion and diversity. HTC Global Services is committed to providing a workplace free from discrimination and harassment, where every employee is treated with dignity and respect. We celebrate differences and believe that diverse cultures, perspectives, and skills drive innovation and success. HTC is an Equal Opportunity Employer and a proud National Minority Supplier. We seek to empower each individual, fostering an environment where everyone feels valued, included, and respected.

Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered. Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women's Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Purpose of Position : Under varying levels of direction and expertise, is responsible for the on-going assessment, design, development and implementation of system-wide clinical systems. Specifically, collect and transform large quantities of information into meaningful business requirements; develop and modify requirements documentation for the design and implementation of clinical information systems; critically evaluate information from various sources; distinguish user needs from actual business needs and partner with business users, project managers, programmers, consultants and IT leadership in optimizing the scope, benefits and risks of actual and proposed projects as well as assist in managing stakeholder expectations. Examples of Typical Tasks : 1. Analyze and document business requirements and processes; communicate requirements to technical personnel through the construction of basic conceptual data, process models and flowcharts, and technical specifications. 2. Interview end users, stakeholders, and project sponsors in order to assess business and clinical needs; create business, functional, and technical requirements document based on captured data and, in accordance with departmental protocol/standards. 3. Convert information gathered into specific details including data sources, data and user types, interface components, interface navigation needs, reporting needs and administrative system needs. 4. Define external interfaces, constraints, quality issues and other non-functional requirements. 5. Provide project management team with identified risks, concerns, and ambiguities discovered during the gathering of requirements; assist team in developing solutions. 6. Partner with project managers to complete requirements documentation, in accordance with project schedule. 7. Plan, organize, facilitate, and lead meetings and workgroups as well as oversee and execute follow-up activities. 8. Ensure software development team accounts for all defined technical requirements, in coordination with quality assurance team. Ensure that all quality standards comply with internal policies and industry standards. 9. Document changes to baseline requirements through standard change control process. Document software test plans, technical requirements, release notes, user and training guidelines and other materials. 10. Plan, coordinate, and support unit acceptance testing and subsequent deployments, in coordination with other team leaders. 11. Perform end user and application support functions including problem solving and resolution of application function defects. Provide systems and application training. 12. Develop and execute project presentations. 13. Participate in special projects, as required. 14. Provide training to and serve as a mentor for junior clinical business analysts and/or other appropriate project team members; manage and evaluate work products for assigned team members. 15. Participate in the development of various departmental training initiatives. 16. Interview junior clinical business analysts and/or other appropriate project team members. Minimum Qualifications: 1. A Masters degree or advanced clinical degree from an accredited college or university; or 2. A Baccalaureate degree from an accredited college or university and one (1) year of experience gathering and documenting business, clinical, and/or functional requirements for software applications development and implementation in a clinical, allied health, non-allied health, behavioral health, information technology, information services, business, analytics or related area; or, one (1) year of experience in a relevant clinical and/or healthcare administration role/function; or 3. A satisfactory combination of education, training, and experience. 4. Specialty certification(s) issued by a national commercially available program, state, professional society, academic or technical institution in an area(s) listed above, may be credited on a month-to-month basis toward the required work experience for a total of one (1) year. 5. AIS (Injury Severity Scoring) certification required Departmental Preferences: Trauma experience from a Level 1 or Level 2 verified Trauma Center Trauma Database/Coding experience preferred (NTRACS, Trauma One, Lancet, ESO, etc.) AIS (Injury Severity Scoring) Certification REQUIRED Trauma Registry Course Completion Required RN License and BLS