Job Description
Care Management Systems Analyst
Remote Worker – N/A
Job Type
Full-time
Description
Valenz Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing true transparency and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As the Care Management Systems Analyst, you will support our Care Management application and its users. You will provide subject matter expertise, assist with workflow documentation, conduct customer and group implementations, and set up application users. You will also provide operational support for application configuration, letter generation invoice processing, report development, and ad-hoc data requests.
To be successful in this role, you will bring a strong technical aptitude, logical thinking, problem solving skills, and a knack for detail and organization.
Things You’ll Do Here:
- Learn the Care Management application from a workflow, process, data, and capabilities perspective, to serve as a subject matter expert on Care Management projects and new client implementation initiatives.
- Set up new Care Management users with user profiles, login instructions, etc.
- Set up new clients and groups in the Care Management application, including related activities such as eligibility imports and plan summary updates.
- Administer Care Management functions such as creating and managing letter generation, set up of field property rules, workflow design, setup, and modification.
- Administer Care Management invoicing process and related support, including communication with Finance.
- Manage new and existing report development, scheduled and ad-hoc data requests from internal and external stakeholders to ensure optimal business operations.
- Manage relationship with third-party Care Management software vendor.
- Work with Information Technology on required software upgrades and performance enhancements as necessary.
- Partner with business operations leads, internal IT resources, and a 3rd party software vendor.
- Play an integral role in process documentation and organization and updating process documents as necessary.