BUSINESS PROCESS ANALYST LEAD WHAT IS THE OPPORTUNITY? The Business Process & Controls Improvement team, within the 1LOD Risk Workstream as part of the GRC (Governance, Risk and Controls), is responsible for evaluating business processes and advising and/or developing incremental enhancements (or innovative solutions) to workflow, systems, and controls to meet quality, scalability, and risk management goals.The Senior Business Analyst will work with Divisional Risk Managers (DRMs), outside consultants, technical teams and other stakeholders to ensure delivery of high quality solutions to meet business needs, including ongoing support of the introduction of enhanced risk processes and capabilities across the First Line of Defense. The role will provide regular updates to the team's Manager, DRMs, and program management teams including status updates on team projects, initiatives and day-to-day activities. WHAT WILL YOU DO? Leverage data to identify current and emerging risks and to design suitable fraud control augmentations. Work with business, product, or channel owners to ensure awareness of fraud risks and to influence adoption of fraud controls that are commensurate with risk appetite and client experience expectations. Effective communication of fraud trends and solutions is critical. Key stakeholders include business, technology, and risk partner teams. Support new or existing product / channel fraud risk assessments to ensure vulnerabilities are identified and steps are taken to mitigate the risk. Develop, disseminate, and present fraud metrics, which enable understanding of risk and the efficacy of implemented solutions. Gather input from stakeholders, via interviews, facilitated requirements workshops, document analysis, surveys, site visits, business process analysis, work flow and task analysis, ensuring the right questions are asked to produce essential requirements, troubleshoot issues, perform root cause analysis, etc. Analyze and measure the effectiveness of existing business processes and develops repeatable and quantifiable business process improvements to meet scalability, risk management, and quality goals. Work collaboratively across the business functions to challenge current state processes, and test and develop innovative future state processes, while understanding and communicating upstream/downstream impact of proposed changes. Lead training plan development, developing user documentation (e.g. checklists, reference guides, etc.), and user training to ensure sustainability of enhanced processes and controls. Assist with remediating process and control gaps and issues, including analyses of potential enhancements to the original approach, to determine and build the best solution available within constraints and capabilities. Collaborate with the Process Documentation team to document each process, sub-process, and corresponding controls, which includes procedures, desktop procedures, process with control maps, metrics with guardrails, on-going monitoring routines, and issue escalation processes. Communicate project status and milestone completion to Manager and key business stakeholders. Assist with defining the change management / user adoption strategy and metrics. Support development, implementation, and continuous improvement of tools, templates, and best practices that support process and control improvement activities. Support a high-performance environment by fostering an inclusive work environment, helping/elevating peers, and taking ownership of individual developmental goals. Act as brand ambassador of the Business Process & Controls Improvement team by developing solid working relationships across the organization as to facilitate communication and strategic partnerships. Contribute to ad-hoc assignments and special projects. WHAT DO YOU NEED TO SUCCEED? Required Qualifications Bachelors or equivalent work experience Minimum of 8 years of experience in financial services with a good understanding of the fundamental principles of banking, project management, and business control work Minimum of 2 years in operations, risk management, quality assurance, compliance, or an internal control/audit capacity Additional Qualifications Strong analytical and complex problem-solving skills Strong interpersonal, verbal, and written communication skills Advanced expertise in Microsoft Office Suite (required), including Microsoft, PowerPoint, Excel; preferably also Microsoft Visio Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Ability to work independently and in a self-directed manner Ability to interact with all levels of management Preferred Certifications: CPA - Certified Public Accountant, CIA - Certified Internal Auditor, CISA - Certified Information Systems Auditor WHAT'S IN IT FOR YOU? Compensation Starting base salary: $101,231 - $172,355 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. Benefits and Perks At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date Generous 401(k) company matching contribution Career Development through Tuition Reimbursement and other internal upskilling and training resources Valued Time Away benefits including vacation, sick and volunteer time Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs Career Mobility support from a dedicated recruitment team Colleague Resource Groups to support networking and community engagement Get a more detailed look at our Benefits and Perks . ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at About Us . INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. accepts applications on an ongoing basis, until filled
09/04/2025
Full time
BUSINESS PROCESS ANALYST LEAD WHAT IS THE OPPORTUNITY? The Business Process & Controls Improvement team, within the 1LOD Risk Workstream as part of the GRC (Governance, Risk and Controls), is responsible for evaluating business processes and advising and/or developing incremental enhancements (or innovative solutions) to workflow, systems, and controls to meet quality, scalability, and risk management goals.The Senior Business Analyst will work with Divisional Risk Managers (DRMs), outside consultants, technical teams and other stakeholders to ensure delivery of high quality solutions to meet business needs, including ongoing support of the introduction of enhanced risk processes and capabilities across the First Line of Defense. The role will provide regular updates to the team's Manager, DRMs, and program management teams including status updates on team projects, initiatives and day-to-day activities. WHAT WILL YOU DO? Leverage data to identify current and emerging risks and to design suitable fraud control augmentations. Work with business, product, or channel owners to ensure awareness of fraud risks and to influence adoption of fraud controls that are commensurate with risk appetite and client experience expectations. Effective communication of fraud trends and solutions is critical. Key stakeholders include business, technology, and risk partner teams. Support new or existing product / channel fraud risk assessments to ensure vulnerabilities are identified and steps are taken to mitigate the risk. Develop, disseminate, and present fraud metrics, which enable understanding of risk and the efficacy of implemented solutions. Gather input from stakeholders, via interviews, facilitated requirements workshops, document analysis, surveys, site visits, business process analysis, work flow and task analysis, ensuring the right questions are asked to produce essential requirements, troubleshoot issues, perform root cause analysis, etc. Analyze and measure the effectiveness of existing business processes and develops repeatable and quantifiable business process improvements to meet scalability, risk management, and quality goals. Work collaboratively across the business functions to challenge current state processes, and test and develop innovative future state processes, while understanding and communicating upstream/downstream impact of proposed changes. Lead training plan development, developing user documentation (e.g. checklists, reference guides, etc.), and user training to ensure sustainability of enhanced processes and controls. Assist with remediating process and control gaps and issues, including analyses of potential enhancements to the original approach, to determine and build the best solution available within constraints and capabilities. Collaborate with the Process Documentation team to document each process, sub-process, and corresponding controls, which includes procedures, desktop procedures, process with control maps, metrics with guardrails, on-going monitoring routines, and issue escalation processes. Communicate project status and milestone completion to Manager and key business stakeholders. Assist with defining the change management / user adoption strategy and metrics. Support development, implementation, and continuous improvement of tools, templates, and best practices that support process and control improvement activities. Support a high-performance environment by fostering an inclusive work environment, helping/elevating peers, and taking ownership of individual developmental goals. Act as brand ambassador of the Business Process & Controls Improvement team by developing solid working relationships across the organization as to facilitate communication and strategic partnerships. Contribute to ad-hoc assignments and special projects. WHAT DO YOU NEED TO SUCCEED? Required Qualifications Bachelors or equivalent work experience Minimum of 8 years of experience in financial services with a good understanding of the fundamental principles of banking, project management, and business control work Minimum of 2 years in operations, risk management, quality assurance, compliance, or an internal control/audit capacity Additional Qualifications Strong analytical and complex problem-solving skills Strong interpersonal, verbal, and written communication skills Advanced expertise in Microsoft Office Suite (required), including Microsoft, PowerPoint, Excel; preferably also Microsoft Visio Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Ability to work independently and in a self-directed manner Ability to interact with all levels of management Preferred Certifications: CPA - Certified Public Accountant, CIA - Certified Internal Auditor, CISA - Certified Information Systems Auditor WHAT'S IN IT FOR YOU? Compensation Starting base salary: $101,231 - $172,355 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. Benefits and Perks At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date Generous 401(k) company matching contribution Career Development through Tuition Reimbursement and other internal upskilling and training resources Valued Time Away benefits including vacation, sick and volunteer time Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs Career Mobility support from a dedicated recruitment team Colleague Resource Groups to support networking and community engagement Get a more detailed look at our Benefits and Perks . ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at About Us . INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. accepts applications on an ongoing basis, until filled
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/04/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will support the Threat Infrastructure Security tools in the Centene environment. This role's focus will be Data engineering/science for a Security Data Lake and automation projects. This role includes: develop strategy, execute design and implement efficient data pipelines to ensure a smooth flow of information into the Security Data Lake. Data Storage and Management: Store and manage the data the ingested data. This involves optimizing data schemas and ensuring data quality and integrity. ETL (Extract, Transform, Load) Processes: Design ETL pipelines to transform raw data into a format suitable for analysis. This involves data cleansing, aggregation, and enrichment, ensuring the data is usable for data scientists and analysts. Code Review and Mentorship: Spend time reviewing code submissions from team members, providing feedback, and mentoring junior developers or team members on best practices and design patterns. Operational support: Perform operational work including troubleshooting and On-call rotation. Data Collection and Cleaning: Acquiring data from various sources and ensuring it is accurate, complete, and ready for analysis. Data Analysis and Interpretation: Analyzing large datasets using statistical and machine learning techniques to identify trends, patterns, and insights. Model Building and Evaluation: Developing predictive models using machine learning algorithms to solve business problems. This includes selecting the right algorithms, training models, and evaluating their performance. Data Visualization: Creating clear and impactful visualizations (charts, dashboards, reports) to present data findings to stakeholders. Collaboration: Working closely with cross-functional teams, including business analysts, engineers, and other stakeholders, to understand their needs and deliver data-driven insights. Testing: Designing and conducting A/B tests to validate hypotheses or test the effectiveness of various strategies. Data Strategy: Providing strategic advice on how to leverage data for business growth and decision-making, including identifying new data opportunities. Automation and Optimization: Streamlining data processes and automating repetitive tasks, ensuring efficiency in data pipelines and analytics workflows. Continuous Learning: Stay updated with the latest trends in software architecture, AI technologies, and development tools. Problem-Solving: Be available to troubleshoot and solve complex technical problems as they arise, offering expertise to resolve issues efficiently. Professional Development and Training: Participate in or conduct training sessions to enhance the team's skills and knowledge in specific areas related to application architecture and AI technologies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Proficiency in Databricks platform Advanced data pipeline design and development Data quality and governance Machine learning model development and maintenance Data integration processes Data security and privacy regulations Data visualization tools development Data warehouse and data mart design and development ETL (Extract, Transform, Load) processes. Data governance and compliance Proficiency in SQL and Python Knowledge of Big Data technologies (Hadoop, Spark) Cloud computing (AWS, Azure, GCP) Data modeling and architecture Advanced analytics and predictive modeling Knowledge of data privacy laws and regulations Proficiency in BI tools (Tableau, PowerBI) Strong problem-solving skills Excellent communication and presentation skills Project management and team leadership. Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion Intermediate - Possesses technical aptitude License/Certification: CompTIA Security+ Certification, CISSP Certified Information Systems Security Professional, and/or Splunk Certifications preferred Databrick Certification, or Python Certifications (such as from Python Institute or Microsoft), or Professional Data Engineer (Google Cloud) or AWS Certified Big Data preferred Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
09/03/2025
Full time
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will support the Threat Infrastructure Security tools in the Centene environment. This role's focus will be Data engineering/science for a Security Data Lake and automation projects. This role includes: develop strategy, execute design and implement efficient data pipelines to ensure a smooth flow of information into the Security Data Lake. Data Storage and Management: Store and manage the data the ingested data. This involves optimizing data schemas and ensuring data quality and integrity. ETL (Extract, Transform, Load) Processes: Design ETL pipelines to transform raw data into a format suitable for analysis. This involves data cleansing, aggregation, and enrichment, ensuring the data is usable for data scientists and analysts. Code Review and Mentorship: Spend time reviewing code submissions from team members, providing feedback, and mentoring junior developers or team members on best practices and design patterns. Operational support: Perform operational work including troubleshooting and On-call rotation. Data Collection and Cleaning: Acquiring data from various sources and ensuring it is accurate, complete, and ready for analysis. Data Analysis and Interpretation: Analyzing large datasets using statistical and machine learning techniques to identify trends, patterns, and insights. Model Building and Evaluation: Developing predictive models using machine learning algorithms to solve business problems. This includes selecting the right algorithms, training models, and evaluating their performance. Data Visualization: Creating clear and impactful visualizations (charts, dashboards, reports) to present data findings to stakeholders. Collaboration: Working closely with cross-functional teams, including business analysts, engineers, and other stakeholders, to understand their needs and deliver data-driven insights. Testing: Designing and conducting A/B tests to validate hypotheses or test the effectiveness of various strategies. Data Strategy: Providing strategic advice on how to leverage data for business growth and decision-making, including identifying new data opportunities. Automation and Optimization: Streamlining data processes and automating repetitive tasks, ensuring efficiency in data pipelines and analytics workflows. Continuous Learning: Stay updated with the latest trends in software architecture, AI technologies, and development tools. Problem-Solving: Be available to troubleshoot and solve complex technical problems as they arise, offering expertise to resolve issues efficiently. Professional Development and Training: Participate in or conduct training sessions to enhance the team's skills and knowledge in specific areas related to application architecture and AI technologies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Proficiency in Databricks platform Advanced data pipeline design and development Data quality and governance Machine learning model development and maintenance Data integration processes Data security and privacy regulations Data visualization tools development Data warehouse and data mart design and development ETL (Extract, Transform, Load) processes. Data governance and compliance Proficiency in SQL and Python Knowledge of Big Data technologies (Hadoop, Spark) Cloud computing (AWS, Azure, GCP) Data modeling and architecture Advanced analytics and predictive modeling Knowledge of data privacy laws and regulations Proficiency in BI tools (Tableau, PowerBI) Strong problem-solving skills Excellent communication and presentation skills Project management and team leadership. Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion Intermediate - Possesses technical aptitude License/Certification: CompTIA Security+ Certification, CISSP Certified Information Systems Security Professional, and/or Splunk Certifications preferred Databrick Certification, or Python Certifications (such as from Python Institute or Microsoft), or Professional Data Engineer (Google Cloud) or AWS Certified Big Data preferred Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
09/03/2025
Full time
Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration . The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Salaries posted are for CA only Required Skills Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers. Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services O rganization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong anal ytical, tec hnical, and troubleshooting skills Demonstrating flexibility with respect to changing end user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations , overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Required Experience Required: Bachelor's degree or a license/certification in a clinical specialty 3 to 5 years of experience Minimum 4 years of experience will be accepted in lieu of the required degree or diploma PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which they meet the minimum qualifications. External applicants must possess active Epic certification in the required application/module at the time of hire. Proof of current certification will be required. Preferred: Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization Address 12401 Washington Blvd. Salary .00 Shift Days
Description: CAN Community Health is the nation's premier resource in ending epidemics with a mission of empowering wellness, has an exciting opportunity for a remote Manager, 340B Compliance. We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer a good quality of life with an excellent daytime schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2025, 2024, 2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award. CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer. You can find out more about us by visiting our website at . Apply Today! Salary: Starting at $74,000-$100,000 annually based on experience. Statement of Purpose: This position is responsible for systems and outcomes in the following areas: 340B program compliance, monthly reporting, and analysis for CAN and its partners 340B Program-related implementation processes Oversight of Lead Pharmacy Compliance Analyst Values: Recognize and affirm the unique and intrinsic worth of everyone. Treat all those we serve with compassion and kindness. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way Ilive my life. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity. Essential Functions: Ensure compliance with CAN's 340B Program through regular monitoring activities and enforcement of program requirements, and daily 340B operations. Collaborate with the Lead Compliance Analyst to develop and maintain 340B training modules for staff education. Assist the Director of 340B Compliance in updating policies and procedures to reflect current regulations and best practices. Help train new Pharmacy Compliance Analysts in collaboration with the Lead Analyst. Maintain up-to-date records of 340B-eligible providers, contract pharmacies, and other essential program documentation. Work with the Data team to build dashboards and visual tools that support analytics and decision-making. Ensure 340B databases meet requirements for Ryan White, STD, and CDC programs through regular audits and reviews. Analyze operations across contract, CAN, and wholly owned pharmacies, including audits, financial reviews, and compliance assessments. Develop and analyze reports to ensure accurate 340B drug usage data and support strategic improvements. Partner with the Director of 340B Compliance on new program rollouts and enhancements. Assist in managing CAN Partner 340B operations and supporting audit processes with the Lead Analyst. Assist in Third Party Administrator processes to ensure smooth communication and issue resolution. Design and maintain data-driven tools to proactively identify compliance risks and ensure regulatory alignment. Monitor policy developments and provide strategic insights to adapt operations accordingly. Collaborate with Finance and Accounting to ensure accurate billing and financial practices within the 340B program. Develop cross-departmental procedures that support consistent and compliant 340B operations. Support the Director in shaping team goals, resource planning, and continuous improvement initiatives. Prepare and manage documentation for internal and external audits, serving as a key compliance resource. Build and maintain strong relationships with contract pharmacies, TPAs, and vendors to support program success. Assist the Director in managing vendor relationships and performance. Participate in statewide and occasional national travel for programmatic support and training. Uphold HIPAA and privacy standards in all program activities Consistently demonstrate the organization's mission and values in daily work. Assist in the development of the HRSA audit workplan, process, and manage claim review with the internal and external teams, adjudicate compliance issues and resolve clinical findings. Supervisory Responsibilities: Staffing, recruiting, interviewing, training, managing schedules and proper coverage, monitoring and approve time & attendance. Responsible for the management and development of all personnel. Encourage your team to seek training in the field by suggesting online classes or seminars that could help their professional development. Evaluate performance 90days/annually and provide feedback. Administer performance improvement plans (PIP) when necessary. Report disciplinary issues to Human Resources adhering to the progressive discipline policy. Requirements: Education/Professional: Bachelor's degree in Pharmaceutical Sciences, Healthcare Administration, Business, Public Health, or a related field required. Equivalent healthcare-related experience with demonstrated 340B program expertise may be considered. Minimum of 3-5 years of experience working with the 340B Drug Pricing Program, with a strong preference for experience in the grantee space (e.g., FQHC, FQHC Look-Alike, Ryan White, or STD programs). At least 2 years of experience managing staff, including direct supervision and performance oversight of team members. Active ACE Advanced 340B Operations Certificate Competencies: Data-Driven Decision Making Analytical Thinking Attention to Detail Project Management Effective Communication Problem Solving Collaboration Leadership Knowledge, Skills and Abilities Required: Basic Finance/Accounting Knowledge Familiar with Regulatory requirements Expertise in 340B program operations, compliance, and reporting. Familiarity with grantee healthcare environments (e.g., FQHC, Ryan White). Strong analytical and data visualization skills. Working knowledge of healthcare finance and billing practices. Proficiency in Microsoft Office and data tools (e.g., Power BI). Effective project and team management capabilities. Excellent communication and collaboration skills. High attention to detail and organizational skills. Ability to adapt in a fast-paced, cross-functional setting. Willingness to travel as needed. AI & Large Language model utilization skills (co-pilot, Power Automate) Work Environment: This position operates in a hybrid work environment ( must be within 40 miles of nearest CAN clinic ), offering flexibility based on location and individual preference. Physical Requirements: Neat, professional appearance. Sedentary- Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly in lift, carry, push, pull, or otherwise move objects. Involving sitting most of the time but may involve walking or standing for brief periods of time. Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity. Position Type/Expected Hours of Work: This position requires hours of work outside of normal operating hours. Travel: Travel is primarily during the business day, although some out-of-area and overnight travel may be expected. Must be able to operate a motor vehicle and have valid insurance and driver's license. Must be able to pass a Level I background check (a Level II background may also be required). CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. PI46172bd2b87c-0816
09/03/2025
Full time
Description: CAN Community Health is the nation's premier resource in ending epidemics with a mission of empowering wellness, has an exciting opportunity for a remote Manager, 340B Compliance. We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer a good quality of life with an excellent daytime schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2025, 2024, 2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award. CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer. You can find out more about us by visiting our website at . Apply Today! Salary: Starting at $74,000-$100,000 annually based on experience. Statement of Purpose: This position is responsible for systems and outcomes in the following areas: 340B program compliance, monthly reporting, and analysis for CAN and its partners 340B Program-related implementation processes Oversight of Lead Pharmacy Compliance Analyst Values: Recognize and affirm the unique and intrinsic worth of everyone. Treat all those we serve with compassion and kindness. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way Ilive my life. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity. Essential Functions: Ensure compliance with CAN's 340B Program through regular monitoring activities and enforcement of program requirements, and daily 340B operations. Collaborate with the Lead Compliance Analyst to develop and maintain 340B training modules for staff education. Assist the Director of 340B Compliance in updating policies and procedures to reflect current regulations and best practices. Help train new Pharmacy Compliance Analysts in collaboration with the Lead Analyst. Maintain up-to-date records of 340B-eligible providers, contract pharmacies, and other essential program documentation. Work with the Data team to build dashboards and visual tools that support analytics and decision-making. Ensure 340B databases meet requirements for Ryan White, STD, and CDC programs through regular audits and reviews. Analyze operations across contract, CAN, and wholly owned pharmacies, including audits, financial reviews, and compliance assessments. Develop and analyze reports to ensure accurate 340B drug usage data and support strategic improvements. Partner with the Director of 340B Compliance on new program rollouts and enhancements. Assist in managing CAN Partner 340B operations and supporting audit processes with the Lead Analyst. Assist in Third Party Administrator processes to ensure smooth communication and issue resolution. Design and maintain data-driven tools to proactively identify compliance risks and ensure regulatory alignment. Monitor policy developments and provide strategic insights to adapt operations accordingly. Collaborate with Finance and Accounting to ensure accurate billing and financial practices within the 340B program. Develop cross-departmental procedures that support consistent and compliant 340B operations. Support the Director in shaping team goals, resource planning, and continuous improvement initiatives. Prepare and manage documentation for internal and external audits, serving as a key compliance resource. Build and maintain strong relationships with contract pharmacies, TPAs, and vendors to support program success. Assist the Director in managing vendor relationships and performance. Participate in statewide and occasional national travel for programmatic support and training. Uphold HIPAA and privacy standards in all program activities Consistently demonstrate the organization's mission and values in daily work. Assist in the development of the HRSA audit workplan, process, and manage claim review with the internal and external teams, adjudicate compliance issues and resolve clinical findings. Supervisory Responsibilities: Staffing, recruiting, interviewing, training, managing schedules and proper coverage, monitoring and approve time & attendance. Responsible for the management and development of all personnel. Encourage your team to seek training in the field by suggesting online classes or seminars that could help their professional development. Evaluate performance 90days/annually and provide feedback. Administer performance improvement plans (PIP) when necessary. Report disciplinary issues to Human Resources adhering to the progressive discipline policy. Requirements: Education/Professional: Bachelor's degree in Pharmaceutical Sciences, Healthcare Administration, Business, Public Health, or a related field required. Equivalent healthcare-related experience with demonstrated 340B program expertise may be considered. Minimum of 3-5 years of experience working with the 340B Drug Pricing Program, with a strong preference for experience in the grantee space (e.g., FQHC, FQHC Look-Alike, Ryan White, or STD programs). At least 2 years of experience managing staff, including direct supervision and performance oversight of team members. Active ACE Advanced 340B Operations Certificate Competencies: Data-Driven Decision Making Analytical Thinking Attention to Detail Project Management Effective Communication Problem Solving Collaboration Leadership Knowledge, Skills and Abilities Required: Basic Finance/Accounting Knowledge Familiar with Regulatory requirements Expertise in 340B program operations, compliance, and reporting. Familiarity with grantee healthcare environments (e.g., FQHC, Ryan White). Strong analytical and data visualization skills. Working knowledge of healthcare finance and billing practices. Proficiency in Microsoft Office and data tools (e.g., Power BI). Effective project and team management capabilities. Excellent communication and collaboration skills. High attention to detail and organizational skills. Ability to adapt in a fast-paced, cross-functional setting. Willingness to travel as needed. AI & Large Language model utilization skills (co-pilot, Power Automate) Work Environment: This position operates in a hybrid work environment ( must be within 40 miles of nearest CAN clinic ), offering flexibility based on location and individual preference. Physical Requirements: Neat, professional appearance. Sedentary- Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly in lift, carry, push, pull, or otherwise move objects. Involving sitting most of the time but may involve walking or standing for brief periods of time. Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity. Position Type/Expected Hours of Work: This position requires hours of work outside of normal operating hours. Travel: Travel is primarily during the business day, although some out-of-area and overnight travel may be expected. Must be able to operate a motor vehicle and have valid insurance and driver's license. Must be able to pass a Level I background check (a Level II background may also be required). CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. PI46172bd2b87c-0816
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will support the Threat Infrastructure Security tools in the Centene environment. This role's focus will be Data engineering/science for a Security Data Lake and automation projects. This role includes: develop strategy, execute design and implement efficient data pipelines to ensure a smooth flow of information into the Security Data Lake. Data Storage and Management: Store and manage the data the ingested data. This involves optimizing data schemas and ensuring data quality and integrity. ETL (Extract, Transform, Load) Processes: Design ETL pipelines to transform raw data into a format suitable for analysis. This involves data cleansing, aggregation, and enrichment, ensuring the data is usable for data scientists and analysts. Code Review and Mentorship: Spend time reviewing code submissions from team members, providing feedback, and mentoring junior developers or team members on best practices and design patterns. Operational support: Perform operational work including troubleshooting and On-call rotation. Data Collection and Cleaning: Acquiring data from various sources and ensuring it is accurate, complete, and ready for analysis. Data Analysis and Interpretation: Analyzing large datasets using statistical and machine learning techniques to identify trends, patterns, and insights. Model Building and Evaluation: Developing predictive models using machine learning algorithms to solve business problems. This includes selecting the right algorithms, training models, and evaluating their performance. Data Visualization: Creating clear and impactful visualizations (charts, dashboards, reports) to present data findings to stakeholders. Collaboration: Working closely with cross-functional teams, including business analysts, engineers, and other stakeholders, to understand their needs and deliver data-driven insights. Testing: Designing and conducting A/B tests to validate hypotheses or test the effectiveness of various strategies. Data Strategy: Providing strategic advice on how to leverage data for business growth and decision-making, including identifying new data opportunities. Automation and Optimization: Streamlining data processes and automating repetitive tasks, ensuring efficiency in data pipelines and analytics workflows. Continuous Learning: Stay updated with the latest trends in software architecture, AI technologies, and development tools. Problem-Solving: Be available to troubleshoot and solve complex technical problems as they arise, offering expertise to resolve issues efficiently. Professional Development and Training: Participate in or conduct training sessions to enhance the team's skills and knowledge in specific areas related to application architecture and AI technologies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Proficiency in Databricks platform Advanced data pipeline design and development Data quality and governance Machine learning model development and maintenance Data integration processes Data security and privacy regulations Data visualization tools development Data warehouse and data mart design and development ETL (Extract, Transform, Load) processes. Data governance and compliance Proficiency in SQL and Python Knowledge of Big Data technologies (Hadoop, Spark) Cloud computing (AWS, Azure, GCP) Data modeling and architecture Advanced analytics and predictive modeling Knowledge of data privacy laws and regulations Proficiency in BI tools (Tableau, PowerBI) Strong problem-solving skills Excellent communication and presentation skills Project management and team leadership. Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion Intermediate - Possesses technical aptitude License/Certification: CompTIA Security+ Certification, CISSP Certified Information Systems Security Professional, and/or Splunk Certifications preferred Databrick Certification, or Python Certifications (such as from Python Institute or Microsoft), or Professional Data Engineer (Google Cloud) or AWS Certified Big Data preferred Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
09/03/2025
Full time
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will support the Threat Infrastructure Security tools in the Centene environment. This role's focus will be Data engineering/science for a Security Data Lake and automation projects. This role includes: develop strategy, execute design and implement efficient data pipelines to ensure a smooth flow of information into the Security Data Lake. Data Storage and Management: Store and manage the data the ingested data. This involves optimizing data schemas and ensuring data quality and integrity. ETL (Extract, Transform, Load) Processes: Design ETL pipelines to transform raw data into a format suitable for analysis. This involves data cleansing, aggregation, and enrichment, ensuring the data is usable for data scientists and analysts. Code Review and Mentorship: Spend time reviewing code submissions from team members, providing feedback, and mentoring junior developers or team members on best practices and design patterns. Operational support: Perform operational work including troubleshooting and On-call rotation. Data Collection and Cleaning: Acquiring data from various sources and ensuring it is accurate, complete, and ready for analysis. Data Analysis and Interpretation: Analyzing large datasets using statistical and machine learning techniques to identify trends, patterns, and insights. Model Building and Evaluation: Developing predictive models using machine learning algorithms to solve business problems. This includes selecting the right algorithms, training models, and evaluating their performance. Data Visualization: Creating clear and impactful visualizations (charts, dashboards, reports) to present data findings to stakeholders. Collaboration: Working closely with cross-functional teams, including business analysts, engineers, and other stakeholders, to understand their needs and deliver data-driven insights. Testing: Designing and conducting A/B tests to validate hypotheses or test the effectiveness of various strategies. Data Strategy: Providing strategic advice on how to leverage data for business growth and decision-making, including identifying new data opportunities. Automation and Optimization: Streamlining data processes and automating repetitive tasks, ensuring efficiency in data pipelines and analytics workflows. Continuous Learning: Stay updated with the latest trends in software architecture, AI technologies, and development tools. Problem-Solving: Be available to troubleshoot and solve complex technical problems as they arise, offering expertise to resolve issues efficiently. Professional Development and Training: Participate in or conduct training sessions to enhance the team's skills and knowledge in specific areas related to application architecture and AI technologies. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Proficiency in Databricks platform Advanced data pipeline design and development Data quality and governance Machine learning model development and maintenance Data integration processes Data security and privacy regulations Data visualization tools development Data warehouse and data mart design and development ETL (Extract, Transform, Load) processes. Data governance and compliance Proficiency in SQL and Python Knowledge of Big Data technologies (Hadoop, Spark) Cloud computing (AWS, Azure, GCP) Data modeling and architecture Advanced analytics and predictive modeling Knowledge of data privacy laws and regulations Proficiency in BI tools (Tableau, PowerBI) Strong problem-solving skills Excellent communication and presentation skills Project management and team leadership. Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion Intermediate - Possesses technical aptitude License/Certification: CompTIA Security+ Certification, CISSP Certified Information Systems Security Professional, and/or Splunk Certifications preferred Databrick Certification, or Python Certifications (such as from Python Institute or Microsoft), or Professional Data Engineer (Google Cloud) or AWS Certified Big Data preferred Pay Range: $100,900.00 - $186,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
