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Sr Clinical Systems Analyst (Care Mgmt)
The role of the Senior Clinical Systems Analyst is a key interface between the Business (Care Management, Care Delivery, and Clinical Operation teams) and the Information Technology (IT) department; responsible for identifying, defining, analyzing, prioritizing and refining business requirements and use cases, and communicating the requirements via detailed use cases to the vendor and/or developers. They are the voice of the customer, stakeholder and end user in product development decisions; aligning feature and product requests with business value and assessing the suitability of operating systems, business processes, and workflow in terms of intended outcomes. The Sr Clinical SA will work directly with end users, software vendors & developers in order to achieve these outcomes and ensure successful translation of requirements and use cases into high-quality software to meet the business need(s).
In the scope of the Care Management project, the Senior Clinical Systems Analyst will be actively involved in vendor selection & procurement, development, and implementation of a Care Management application. This person will analyze current systems and workflows to identify areas for improvement with the business teams, and is responsible for gathering user story requirements and transforming those high level story requirements into actionable technical requirements in the form of use case specifications for the development and quality assurance teams. The ideal candidate MUST have prior experience with supporting and/or implementing a Care Management platform.
  • Under general supervision, coordinate with Care Management, Care Delivery and Clinical Operation teams, as well as the Project Manager & project team, for the planning, design, development, implementation, functionality, and evaluation of integrated clinical information systems in the form of a Care Management platform that will support and enhance clinical practice, administrative and management needs, and patient outcomes.
  • Acts as a resource with clinical knowledge and/or computer expertise to coordinate and provide support for all new and current applications and software upgrades applicable to the clinical systems
  • Collaborate with key stakeholders across the organization to define, develop, shape, and refine requirements of complex software products at the heart of the company’s business. Confer with all levels of the business within assigned department(s) to analyze how existing operating systems may be improved or develop plans for a new systems or workflows; utilize this information to define application problem(s).
  • Develop and maintain a strong, deep understanding of the processes and workflows, as well as an expertise in the functions and data of the systems supporting the business.
  • Author requirements and user stories for new features, enhancements or fixes, ensuring that stakeholder and market needs are met. Drive and own backlog management; groom backlog of competing requirements by evaluating the business value and/or ROI of each, and prioritize the work for the development team and/or vendors.
  • Assists in the analysis, design, testing and implementation of clinical information systems and solutions.
  • Prepares detailed use case specifications from which programs will be written. Conducts assessments of the clinical environment and identifies implications for system implementations, and may act as a facilitator for those changes in the clinical environment.
  • Works with appropriate business partners, senior clinical applications staff, and training staff to advise end-user training on clinical applications to ensure understanding of functionality.
  • Work with IT team and business to devise innovative solutions that solve the customer and stakeholder problems.
  • In conjunction with developers and DBAs, plan and analyze data structures and schemas within the systems and interfaces; design database and data dictionary criteria. Perform analysis and make recommendations in areas that require a high level of technical competency.
  • Collaborate with and provide advice and guidance to the development and test representatives throughout the development life cycle by providing functional and domain level expertise, as required, to complete test plans, test cases, data gathering, and other activities to complete testing.
  • Provide quick JIT decisions to system level questions and defect triage.
  • Ensure that proposed solution concepts are aligned with the existing enterprise framework solution, as well as with the business roadmap and objectives.
  • Assist in developing user documentation and departmental policies, procedures or rules that impact the use of the operating system.
  • Provide production support for existing applications; triage and research submitted issues.
  • Strategize with stakeholders on issues related to feature or system requests, vision, and overall business processes; assist with the design of future state business processes.
  • Challenge assumptions and direction from business stakeholders when their needs are not technically achievable; provide guidance and serve as change agent who identifies the organizational improvements needed.
  • Perform as a project lead; coordinates and guides the work of others (within project team) to develop, test, and implement new/enhanced/fixed program features in conjunction with the Project Manager.
  • Mentor new hires and junior systems analysts; provide a level of leadership and coordination within SA team.
  • Enforce IT methodologies, processes, and standards.
  • Perform other related duties as assigned. 
  • Bachelor’s degree in Computer Science, Healthcare, Nursing, Pharmacy, or Allied Health.
  • Minimum of five years of experience in systems analysis and/or programming required with demonstrated project management or leadership responsibilities.
  • Must have 5-10 years of experience in a Managed Care or other Healthcare company environment, or several years’ clinical experience in the acute and or ambulatory care setting.
  • Experience with clinical documentation applications or EHRs.
  • Extensive experience in business requirement gathering; both front-end and back-end requirement gathering. Interacting with customers to gather & understand their business requirements.
  • Proven, substantial experience with writing and producing high-quality, detailed use cases (or specifications). Knowledge of systems implementation which will include analysis, specification design, and implementation.
  • Proficient in SQL with proven experience with scripting and data analysis/mining.
  • Ability to interact with clinical staff at all levels in a health care organization.
  • Willingness to actively participate in a large complex project.
  • Knowledge of applicable data privacy practices and laws pertaining to the healthcare industry.
  • Experience working with and overseeing outside developers, vendors and consultants.
  • Strong analytical, quantitative, problem solving, and organizational skills; attention to detail; and ability to coordinate multiple tasks, set priorities, and meet deadlines.
  • A self-starter who can work effectively as a member of a team or independently as the particular assignment requires with the ability to manage multiple projects and priorities simultaneously.
  • Highly self-motivated and ability to research and integrate new processes.
  • Excellent written, oral, interpersonal, and presentational skills; ability to build strong relationships with internal clients, and a successful track record of collaboration toward achieving objectives expected. 
  • Ability to influence decision making without formal reporting structure authority.
  • Ability to present ideas in business-friendly and user-friendly language.
  • Possesses a very strong customer service orientation.
  • Must demonstrate basic computer skills. 
Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
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