5 jobs found

City/State Richmond, VA Work Shift Multiple shifts available Overview: Sentara is hiring a Senior Business System Analyst! This position is fully remote. Work Location: Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming Overview This position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources. Description Incumbent will identify opportunities to leverage technologies in areas that improve and enhance the business practices by designing and implementing application/product enhancements. Works with and is a liaison to customers and end-users, appropriate IT personnel and software vendors on a regular basis to align technology functionality to operational processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate information gathering and/or modeling technique to elicit requirements. Develop detailed test cases, execute them, and share results with business and tech managers for approval. Work jointly with developers to solution and provide cost and time estimates on fixes and enhancements. Performs longer term analysis and design of systems and hardware to maintain the production environments. Synthesize requirements and develop recommendations that best meet the objectives of the business. Works on project teams that are developing or modifying very complex information systems. Responsibilities Serve as the primary liaison between business units, IT groups, and external partners regarding Enrollment and Eligibility processes, with a focus on EDI 834 file exchanges Elicit detailed requirements from stakeholders for the onboarding and maintenance of EDI 834 transactions Analyze, map, and document data flows, business processes, and system interfaces-particularly for enrollment and eligibility functions Review and validate inbound and outbound EDI 834 files to ensure data integrity and compliance with industry and regulatory standards Utilize methodologies such as Agile, Waterfall, and SDLC to manage and support projects related to enrollment and eligibility Develop and execute SQL queries for data analysis and troubleshooting of EDI 834 transactions and enrollment data Identify and mitigate operational and technological risks associated with enrollment file exchanges and eligibility processing Lead testing, troubleshooting, and enhancement activities for enrollment systems and EDI integrations Build and maintain strong relationships with internal teams and external partners (e.g., plan sponsors, TPAs) Proactively identify opportunities for business process improvement and innovation within enrollment and eligibility operations Drive initiatives to increase customer satisfaction by streamlining EDI processes, enhancing data accuracy, and optimizing workflows Evaluate project team performance and ensure objectives, targets, and timelines for enrollment and eligibility enhancements are consistently met Oversee the design and implementation of new enrollment-related solutions and assess their impact on customer satisfaction and operational efficiency Create and distribute monthly performance and operational analysis reports using Tableau, Excel, and other analytic tools Stay informed of regulatory changes and industry trends regarding EDI 834, HIPAA, and member enrollment Provide training and guidance to junior analysts and business units on EDI 834 standards and enrollment practices Education Bachelor's degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required) or Candidates without a bachelor's degree with 6 or more years of relevant experience may be considered. Experience: 4 years of relevant experience (Required) Proficiency in SQL, HTML, and CSS (Preferred) Must have experience working in SQL Understanding of Software Development Life Cycle Nice to have experience working in Salesforce, QNXT, Edifecs We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: $69,876 - $116,438. Additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities Talroo-health plan, Member enrollment, EDI-834, project management, inbound, member eligibility, QNXT, Facets, SQL, reporting, queries, enrollment, Medicaid, commercial, health plans, HIPAA, Salesforce Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

GENERAL SUMMARY The Forward Deployed Platform Application Developer builds, configures, tests, and supports user-facing solutions within Skypoint, Salesforce Nonprofit Cloud, and other approved enterprise platforms. This field-facing role works closely with operational users and the Forward Deployed Process Lead to translate workflow and business needs into practical technology solutions, including workflows, automation, AI agents, dashboards, data visualizations, and other user-facing tools that improve efficiency, data quality, and user experience. ESSENTIAL RESPONSIBILITIES Builds, configures, and supports solutions within Skypoint, Salesforce Nonprofit Cloud, and other approved enterprise platforms Develops and maintains workflows, automation, AI agents, dashboards, reports, and user-facing tools Translates operational and business requirements into practical platform solutions in partnership with operational leaders and end users Tests, refines, deploys, documents, and supports platform solutions to ensure usability, reliability, security, and adoption Administers Salesforce Nonprofit Cloud including users, permissions, workflows, reports, dashboards, and automation tools Collaborates with BI, data, and technical teams to support reporting, integration, and data quality requirements Troubleshoots issues and escalates advanced infrastructure, cybersecurity, integration, or data engineering needs as appropriate Supports continuous improvement of workflows, system usability, automation, and user experience across enterprise platforms Follows organizational governance, security, change management, and documentation standards Performs other duties as assigned JOB SPECIFICATION Bachelor's degree in Computer Science, Information Systems, Business, or related field preferred; equivalent experience considered Experience administering, configuring, or supporting enterprise application platforms required Experience with Salesforce administration, configuration, or platform development preferred Experience or strong interest in Skypoint, AI platforms, automation tools, dashboards, analytics, or data visualization preferred Ability to build workflows, automation, dashboards, AI agents, and user-facing tools using low-code or no-code platforms Strong technical problem-solving skills and practical application development mindset Basic understanding of data structures, reporting, integrations, governance, and system-to-system data flow Ability to translate business requirements into effective platform solutions Experience testing changes, troubleshooting issues, supporting users, and documenting configurations preferred Salesforce Administrator or Developer certification preferred Local travel required Healthcare, payer/provider, PACE, senior care, value-based care, or HIPAA experience preferred Covid vaccine preferred. EEO Statement Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability. Element Care is committed to valuing diversity and contributing to an inclusive working environment. Compensation details: 00 Yearly Salary PIef07d8c50c1e-5870

The Forward Deployed Process Analyst works directly with clinical, operational, and IDT teams to understand workflows, identify process issues, and define practical improvements that support business goals and user experience. This field-facing role focuses on workflow redesign, process improvement, user adoption, and technology-enabled operational change across platforms such as Skypoint, NextGen, Salesforce, and other approved enterprise systems. ESSENTIAL RESPONSIBILITIES Observes, documents, and analyzes clinical and operational workflows to identify inefficiencies, gaps, duplicate work, and process variation Defines future-state workflows and operational improvements that simplify work, improve efficiency, and support organizational goals leveraging data analytics, system integration, and AI Translates operational needs into clear workflows, requirements, user stories, and reporting needs for technology solutions Partners with the Forward Deployed Application Developer to design, test, refine, and improve platform-based solutions across Salesforce CRM, NextGen EHR, and Skypoint AI Agent platform. Leads workflow validation, user feedback, testing, and post-launch optimization activities Supports training, communication, adoption, and change management for new workflows and technology solutions Collaborates across clinical, operational, and technology teams to clarify business definitions, reporting requirements, and data needs Helps measure workflow improvements, operational outcomes, user adoption, and reduction in manual effort Maintains documentation of workflows, requirements, process changes, and operational decisions Frequent local travel Performs other duties as assigned JOB SPECIFICATION 4-8 years of experience in healthcare operations, workflow redesign, process improvement, business analysis, project management, and technology-enabled operational improvement initiatives; experience in Lean, or Six Sigma a plus Bachelor's degree in Business, Healthcare Administration, Information Systems, or related field preferred; equivalent experience considered Strong understanding of operational workflows and ability to simplify complex processes into practical solutions Strong facilitation, communication, organizational, and problem-solving skills Ability to work effectively with frontline staff, managers, executives, technology teams Ability to translate operational needs into clear business and workflow requirements Comfortable working with technology-enabled process improvement and enterprise applications Basic understanding of data, reporting, workflows, and user-facing systems Experience with system implementations, workflow redesign, user testing, or change management preferred Goal oriented, self-starter able to work independently and as part of a team. Healthcare, payer/provider, PACE, senior care, value-based care, or HIPAA experience preferred Covid vaccinated preferred Salary range: 85K to 110k EEO Statement Element Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability. Element Care is committed to valuing diversity and contributing to an inclusive working environment. Compensation details: 00 Yearly Salary PI7efd1bee2d09-0497

The Senior Salesforce Developer is responsible for designing, developing, and maintaining scalable Salesforce solutions. The role focuses on building applications using Salesforce technologies, integrating Salesforce with external systems, optimizing platform performance, and ensuring long-term scalability. The developer works closely with business analysts, architects, and other teams to convert business requirements into technical solutions.