Clinical Applications Administrator

Nova Healthcare Administrators, Inc. - Williamsville, NY

Full-time

Candidates MUST apply via the company career site in order to be considered. Please see link below:

https://ih.wd1.myworkdayjobs.com/en-US/IHA_Careers/job/Williamsville-NY-Nova/Clinical-Applications-Administrator_R0003496

Overview

The Clinical Applications Administrator shall be responsible for understanding the intersection of Nova’s business requirements and clinical platform system(s) capability. The Clinical Applications Administrator will be responsible for working with multiple departments, including Analytics, Client Service, Medical Management, IT, System Configuration, Customer Service, Claims, Enrollment, and Pharmacy, with focus on maximizing the clinical system to provide for various business operational needs and client-specific requirements. In addition, the Clinical Applications Administrator will work as a business partner with various other Nova project teams and clients to provide a better understanding of the capabilities of the system, workflows and associated business processes.

The Clinical Applications Administrator will also provide data and analytical support for Nova’s Stewardship Model and Nova’s Health Plan Performance team. This position will provide strategic direction in the conception, establishment and system solution for client-specific cost driver mitigation efforts and strategies geared to improve health outcomes and engagement for Nova clients/members.

Qualifications

  • High school or GED required; Associates degree or higher, in computer science, information technology, or any other related technology discipline preferred.
  • Four (4) years of business operations and/or business systems experience required. Medical Management operations and/or system configuration experience strongly preferred.
  • Functional knowledge of benefit structures and applications, claims processing and financial systems, preferred.
  • Prior experience with clinical systems, core claims systems, telephone platforms, workforce management, and CRM applications is preferred.
  • Operational expertise sufficient to understand and successfully consult with business units and IT on capabilities of the applicable business systems.
  • Knowledge and experience in the development of departmental policies, processes, and procedures.
  • General knowledge and understanding of medical and procedure coding formats including but not limited to CPT, ICD-9, ICD-10, HCPC, REV and DRG is preferred.
  • Experience in the research, development, and implementation of clinical best practice, and analysis of outcome measures.
  • Excellent verbal, written and interpersonal communications skills with emphasis on diplomacy, negotiation, persuasiveness and interaction with multiple levels of management. Ability to lead or participate on multi-disciplinary project teams.
  • Proven examples of displaying the Nova values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Candidates MUST apply via the company career site in order to be considered. Please see link below:

https://ih.wd1.myworkdayjobs.com/en-US/IHA_Careers/job/Williamsville-NY-Nova/Clinical-Applications-Administrator_R0003496

Job Type: Full-time