Application Developer III, Medical Management
PacificSource

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Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Collaboratively develop solutions to departmental strategic and operational requirements. Understand core departmental business functions and needs. Work with business clients to configure and deploy systems. Analyzes, Designs, configures, implements, and provides ongoing maintenance for electronic health care and related systems. Designs and documents efficient processes. Creates detailed documents and specifications. Configures, tests, and maintains format, content, and data in assigned systems according to best practices.

Essential Responsibilities:

• Analyze existing and proposed system options. Work with business clients to help implement solutions and packages.
  
• Manage end-to-end projects and tasks within projects. Use project management tools to provide predictable results and visibility to stakeholders.
  
• Learn and understand existing business processes. Determine opportunities for operational improvement and support of strategic goals. Support data quality improvement initiatives.
  
• Interpret existing and new policy, benefit, and contract provisions for use with systems.
  
• Maintain document format and content in assigned systems. Prepare flowcharts and diagrams to illustrate sequence of steps and to describe logical operations involved.
  
• Work with software developers to create high-quality documents to be delivered to external customers.
  
• Diagnose and resolve system and data problems. Work closely with other IT staff to accept electronic data and generate digital documents that can be printed or displayed in a web environment.
  
• Document business requirements and configuration approaches for assigned systems.
  
• Use queries and reporting tools to gather and understand information. Work with management and stakeholders to recommend and develop appropriate metrics, dashboards, analytic and operational reports.
  
• Develop QA tests and manages QA / testing efforts for projects.
  
• Train users in technical aspects of systems and processes.
  
• Serve as a solution oriented technical subject matter expert and change agent. Effectively manage and complete all associate level standard work items as assigned.
  
• Participate in special projects and committees and perform other duties as assigned.
  

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
  
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  
• Perform other duties as assigned.
  

SUCCESS PROFILE

Work Experience: Minimum four years of prior application development and related application management experience required. Project management experience in a complex environment, such as health plans preferred. Knowledge of benefits, documentation, contracts, coding, claims, and other healthcare concepts desired. Understanding and experience with all phases of SDLC, and business analysis required. Technical development experience and interest in the following areas strongly preferred: Electronic Health Records, Electronic Medical Records, medical management.

Education, Certificates, Licenses: Bachelor's Degree or equivalent work experience in Computer Science, Information Systems, or related field. Epic certification preferred.

Knowledge: Proactive, self-starter with advanced self-management, analytical, and communication skills. Ability to effectively coordinate and execute numerous, simultaneous strategic projects and assignments. Experience with relevant tools such as Tableau, Power BI, MS Excel, SharePoint and Visio. Working knowledge of SQL. Experience working in diverse, multifaceted, cross-functional results oriented technical teams. Working knowledge of document management and customer communications management systems or related. Working knowledge of database structure required; familiarity relational databases preferred. Ability to identify techniques and develop standardized work methods to expand system capability and usage. Ability to work across business and system groups at all levels.

Competencies

• Adaptability
  
• Building Customer Loyalty
  
• Building Strategic Work Relationships
  
• Building Trust
  
• Continuous Improvement
  
• Contributing to Team Success
  
• Planning and Organizing
  
• Work Standards
  

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.

Skills:

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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