Become a part of our caring community and help us put health firstThe Senior Business Systems Analysis Professional drives system support for Medicaid markets to determine issue, disruptions, outages, technical gaps in our clinical platforms/applications. The Senior Business Systems Analysis Professional works on problems of diverse scope and complexity ranging from moderate to substantial. Performs analysis of business system integrity and stability, process and operational knowledge. Accountable to preform daily, weekly, quarterly operational tasks (system monitoring, reporting, tracking trends, etc.) required for clinical platforms/application management. Supports business root cause analysis with recommendations for improvements to ensure system meets the market need and performance.
Assists the market lead and end users who utilize GuidingCare and CGX- how to use the case management application and resolve system issues.
Trouble shoots issues with the tools, technologies and application to help understand the issue
POC for post - go live support
Tracks and maintains all reported issues from the market to resolution
Maintains the markets up to date on current status of open items
Creates and maintains PowerBI reports
Collaborates with Implementation team for configuration, rules and requirement issues
Collaborates with Process and Training team on process document enhancements
Assists with identifying system issue trends
Collaborates with external teams such as Enrollment
Collaborates with IT Humana Clinical Teams to trouble shoot issues
Meets with vendor HealthEdge to solve issues
Runs high level SQL queries to identify impacts on issues or help further research (member eligibility)
Drafts process documents to assist in trouble shooting (HAR, SAML, adding WQ)
Meets with the market to review open items (daily, weekly, monthly)
Reviews monthly HealthEdge release notes and validate the enhancements in lower environment
Exercises considerable latitude in determining objectives and approaches to assignments.
Begins to influence the department's strategy and will make decisions on moderately complex to complex issues.
Use your skills to make an impactRequired Qualifications
Bachelor's degree
Minimum 2 years of experience in problem analysis and process
Experience in Production Support management
Experience in issue tracking and reporting
Knowledge of Systems Development Life Cycle
Comprehensive knowledge of all Microsoft Office applications including Lists, Form, Word, PowerPoint, Excel including formulas, v-lookup and pivot tables
Must be able to work Eastern time zone hours- M-F, 8:30-5pm (EST)
Preferred Qualifications
Working knowledge of ad-hoc query tools and data repositories that support data extraction and manipulation (SQL)
Demonstrated experience with process documentation
Experience in a clinical area
Experience with tools such as Microsoft Power BI, Power Automate and Tableau
Knowledge of SharePoint site development
Additional InformationBenefitsHumana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
WAH Internet StatementTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationSSN ValidationHumana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.HireVueAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$78,800 - $108,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About usHumana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.