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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in business and technical analysis within healthcare programs, focusing on Medicare, Medicaid, and compliance with CMS regulations. Proficient in workflow analysis, system integration, and providing 24x7 support to enhance operational efficiency.
Highest-signal resume keywords
Business AnalysisTechnical AnalysisHealthcare Payer OperationsRequirements ManagementSystem Integration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisWorkflow DocumentationGap AnalysisUnit TestingScenario-Based TestingSystem BuildsTraining Material PreparationRegulatory Requirements TranslationTechnical Requirements TestingProduction Support
Soft Skills
Critical ThinkingInterpersonal CommunicationProblem SolvingTeam CollaborationFeedback Provision
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
MedicareMedicaidGovernment-Sponsored Healthcare ProgramsCMS RegulationsCompliance RequirementsHealthcare Administration SystemsData FlowsInformation Security Best Practices
About the role
Key responsibilities & impact- Develop a strong understanding of assigned applications
- Collect data through discussions, workflow observations, and document review
- Analyze best-practice workflows and identify opportunities to improve efficiency or effectiveness
- Produce workflow, gap analysis, needs assessment, design, build, testing, project, status, and transition documentation
- Perform unit and scenario-based application testing
- Apply critical thinking to problem solving and understand root causes
- Communicate work status with peers, informaticians, stakeholders, project teams, and leadership
- Apply appropriate issue escalation procedures
- Complete system builds and documentation according to department guidelines and change management policy
- Participate actively in meetings and provide feedback and input
- Prepare training materials and conduct virtual or in-person training classes
- Participate in team on-call rotation to provide 24x7x365 support
- Provide remote and/or on-site support to end-users
- Support system upgrades, patches, and monitoring
- Assist with department guidelines, standards, procedures, and policies
- Participate in vendor review and selection processes
- Test integration and technical requirements of peripherals and devices interfacing with assigned applications
- Perform other qualified duties as required or assigned
Requirements
What you’ll need- High School Diploma or Equivalent (GED) (Required)
- Minimum of 2 years of relevant experience (Required)
- Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years)
- Demonstrated experience supporting Medicare, Medicaid, Dual Eligible, and other government-sponsored healthcare programs
- Proven ability to perform business analysis and technical analysis, including gathering, documenting, and translating business, operational, and regulatory requirements into system solutions
- Strong understanding of healthcare payer operations, CMS regulations, compliance requirements, and government program processes
- Experience partnering with business stakeholders and technical teams to analyze processes, define requirements, support system enhancements, and implement regulatory initiatives
- Experience with requirements management, data analysis, testing, system integration, and production support in a regulated healthcare environment
- Knowledge of healthcare administration systems, data flows, reporting, and technology solutions supporting government programs
- Communication, critical thinking, and interpersonal communication skills
- Ability to participate in a team on-call rotation providing 24x7x365 support
- Adherence to information security best practices and organization policies and procedures
Benefits
Comp & perks- Healthcare benefits for full-time and part-time positions from day one
- Vision benefits
- Dental benefits
- Domestic partner benefits
- Collaborative, cooperative, and collegial work atmosphere