Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Position Title: Cotiviti Applications System Administrator / HEDIS Analyst

Exemption Status: Exempt

Department: Information Systems

Manager Title: IS Production Support Manager

Supervises: N/A

Requisition # 24303

Pay & Benefits: Estimated hiring range $107,910 - $130,570 / year, 5% bonus target, full benefits.www.careoregon.org/about-us/careers/benefits

Posting Notes: This is a fully remote role, but you must reside in one of the listed 9 states.

General Statement of Duties

The IS Application Systems Administrator III is responsible for managing corporate applications, as well as designing and implementing effective application solutions in support of business strategies. This role is essential in executing and maturing CareOregon's applications system support model. This position spends substantial time partnering with business leaders, architecting, implementing, and administering IS policies and systems (plan, design, install, and maintain).

Essential Position Functions

Essential Department and Organizational Functions

• Propose and implement process improvements.
• Meet deadlines for completion of job tasks.
• Maintain agreed upon work schedule.
• Demonstrate cooperation and teamwork.
• Provide cross-training on specific job responsibilities.
• Meet identified business goals that contribute to departmental goals.
• Perform other related duties as needed.

Required Knowledge, Skills, and Abilities

• Expert knowledge, skills, and/or abilities in most or all of the following:
  • Enterprise applications integration and business process automation tools, such as BizTalk
  • Data integration strategy best practices, such as ETL
  • Claims processing technologies, such as QNXT and Facets
  • Electronic health record technologies such as EPIC and Allscripts
  • Document management and collaboration platforms, such as SharePoint and Office 365
  • Scripting language technology, such as PowerShell and T-SQL
  • Compute environments, such as server hardware, storage and virtualization
  • Microsoft server operating systems and core services, such as Active Directory
  • Cloud technologies, such as Microsoft Azure and Amazon Web Services
  • Data protection solutions
  • Troubleshooting performance issues and root causes
  • Monitoring systems and best practices
  • Principles of application design and best practices
• Knowledge of ITIL and ITSM governance concepts
• Knowledge of project management practices
• Expert ability to author and maintain system documentation
• Strong and clear communication skills, including listening, verbal, written, customer service, meeting facilitation, and presentations
• Ability to clearly articulate policies, instructions, goals, and objectives
• Able to convey appropriate level of detail effectively to all levels of the organization including non-technical staff and leadership
• Able to simplify and present concepts in an easily understood way
• Proactively and appropriately communicates status and needs
• Ability to author policies, document risks, and propose solutions to information technology management and senior leadership
• Possess a high degree of initiative and motivation
• Ability to effectively collaborate with coworkers, staff, leaders, and executives across all departments
• Able to see lead teams of people with minimal oversight
• Able to see the big picture beyond a request and take appropriate holistic action, employing "systems thinking"
• Strong project management skills
• Strong vendor management skills
• Strong organizational skills
• Ability to prioritize work based on business need and direction
• Strong analytical and research skills; able to see patterns in data and draw appropriate conclusions
• Able to propose solutions and communicate business value
• Ability to maintain a positive attitude
• Understands and adheres to governance and process
• Ability to mentor and assist in developing junior staff

Physical Skills and Abilities Required

Cognitive and Other Skills and Abilities

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:

• Minimum 5 years' experience delivering application systems solutions and related services required. Experience should include most or all of the following:

• Enterprise applications installation, administration and upgrade
• Enterprise applications infrastructure design, including performance management and cost metrics
• Scripting and automation
• Cloud and "as a Service" offerings
• Microsoft operating systems and core services
• ITIL concepts and practices
• Concepts of Managed Care
• Project management practices
• Systems integration and data flow

Preferred:

• 3 years of Cotiviti experience
• HEDIS exp to include Stars and/or HEDIS measures
• Bachelor's degree in Computer Science, Information Systems, or a related field preferred
• Advanced-level Microsoft certifications preferred

• Additional experience in related technology support and/or operational positions preferred

Working Conditions

• Environment: This position's primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

Inside/office Clinics/health facilities Member homes

Other_________________________________________

• Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee's personal vehicle, local transit, or other means of transportation may be used.
• Equipment: General office equipment
• Hazards: n/a
  
  
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Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.