Become a part of our caring community and help us put health first
 

The 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 impact
 

Required 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 Information

Benefits

Humana 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 Statement

To 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 an