Web Developer III - Core Systems

Provides medium- to high-level support and expertise related to systems configuration, research and analysis, and State policy and procedure implementation, in support of the Application Analyst IV – Core Systems, with duties including but not limited to:

Assisting with the integration process of new vendors

Performing troubleshooting and resolving issues pertaining to core systems, as well as internal development and integrations

Supporting the Application Analyst IV – Core Systems by gathering information related to issues with core systems and providing recommendations regarding resolution of issues

Assisting in cross-functional tasks/projects while achieving timely and accurate deliverables

Supporting internal customers with workflow analysis related to core systems

Providing input on the development and implementation of administrative policies, processes and procedures related to Application Services Department operations

Supporting the Application Analyst IV – Core Systems and Application Services leadership by participating in the design, development, testing, and implementation of internal Tactical Plan projects, operations and reporting solutions

Assisting with assessing software bugs and change requests in order to support the Application Analyst IV – Core Systems and Application Services leadership in prioritizing with stakeholders, internal development, and vendors

Supporting generation of routine operational and system reports for Application Services leadership, subject to peer review

Assisting the Application Analyst IV – Core Systems with the assessment and interpretation of policy and operational changes from the Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services (CMS) and other governmental entitie

Bachelor’s degree in Business Administration, Health Care, Information Technology, Information Science, or a related field

5+ years (or a Master’s degree and three years) of product configuration, provider payments, and member benefits experience which included some experience related to training staff

3+ years of experience in a managed health care environment; or an equivalent combination of education and experience may be qualifying

Experience with D-SNP highly desired.

Thorough knowledge of the Medicaid Program, the methods of product configuration in a Medicaid/Medicare environment, and the medical terminology, related procedures, and national diagnostic coding

Working knowledge of: health care regulatory policies, principles of health care planning and administration, health care data analytics, State and Federal Legislative processes, and Medi-Cal.

Experience with HSP/Meditrac claims processing systems and ancillary systems

Experience working with methodologies such as Application Lifecycle Management and various project management methodologies and best practices desired

Some knowledge of Agile/Scrum development environments desired

Proficiency in the use of SharePoint desired

Must be US Citizens and GC Holders also open to sponsorship