Top 319 Systems analyst Jobs in Milpitas, Ca

Utilization Management Business Analyst II (Fixed Term) - 26-75
PriMed Management Consulting Services, Inc. —San Ramon, CA
- $100,000 - $127,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
Systems Analyst
SRA OSS —San Jose, CA
- Email
- Computer Science
- Mid-level
- Travel
PROGRAMMER ANALYST
San Jose/Evergreen Community College District —San Jose, CA
- $118,157 - $144,130 a year
- Full-time
- Computer science
- Computer Science
- Mid-level
- Paid holidays
- Disability insurance
Business Systems Analyst
Monks —Cupertino, CA
- $120,000 - $160,000 a year
- Contract
- Mid-level
- SQL
Quick Apply
Systems Analyst
Radiance Solutions —San Ramon, CA
- Email
- Master's degree
- Bachelor's degree
- Travel
Programmer Analyst
Caspex —Fremont, CA
- Mid-level
IT Analyst
P2P Softtek Business Solutions —Pleasanton, CA
- $98,758 a year
- Email
- Azure
- Mid-level
- SQL
Business Systems Analyst - Workday Financials
Workday —Pleasanton, CA
- $121,600 - $216,000 a year
- Full-time
- 5 years
- System design
- Mid-level
- Flexible schedule
Computer Systems Analysts
ZEDventures —San Jose, CA
- Full-time
- Computer Science
- Mid-level
- Travel
Systems Integrity Analyst - USDS
TikTok USDS JV —San Jose, CA
- $118,800 - $269,800 a year
- Hybrid work
- Mid-level
- 3 years
- Fair chance
- Paid parental leave
- Paid holidays
MIS System Analyst
AMAX —Fremont, CA
- $75,000 - $95,000 a year
- Full-time
- Computer Science
- Mid-level
- Office
- Commuter assistance
- Health savings account
Quick Apply
Systems Analyst/Programmer
City of Fremont —Fremont, CA
- $126,950.11 - $171,394.22 a year
- Weekends as needed
- Computer Science
- System design
- Mid-level
- Disability insurance
- Health insurance
AI Analyst
Stanford University —Redwood City, CA
- $156,505 - $183,920 a year
- Full-time
- Hybrid work
- 8 years
- SQL
- Bachelor's degree
2d
Systems Analyst
Podilisoft —San Jose, CA
- Email
- Computer Science
- Software troubleshooting
- 3 years
Business Analyst
Stanford University —Stanford, CA
- $100,907.34 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
1d
WMS Operations Systems Analyst
U.S. Trading Company —Hayward, CA
- Mid-level
- Continuous improvement
- Warehouse
- Profit sharing
- Paid holidays
Senior Business Analyst
Ross Stores —Dublin, CA
- $99,900 - $163,950 a year
- Hybrid work
- Computer science
- Computer Science
- 5 years
IT Analyst
DRT Strategies, Inc. —Palo Alto, CA
- $80,000 - $100,000 a year
- Full-time
- Computer Science
- System design
- SQL
Systems Analyst
Ascentt Business Systems —Fremont, CA
- Computer Science
- Master's degree
- Bachelor's degree
Requirements Analyst
Lawrence Livermore National Laboratory —Livermore, CA
- $129,150 - $196,476 a year
- Full-time
- Computer science
- Computer Science
- Pass drug screening
- Relocation assistance
- 401(k)
7d

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Utilization Management Business Analyst II (Fixed Term) - 26-75

PriMed Management Consulting Services, Inc. -
San Ramon, CA

Quick Apply

Job Details

Full-time
$100,000 - $127,000 a year

Qualifications

Business intelligence report generation
Epic Certification
Stakeholder relationship building

Full Job Description

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The Utilization Management Business Analyst will serve as a critical link between our Authorizations operations and IT teams, focusing on optimizing the utilization management workflows within the Epic system. This role will analyze business processes, design solutions, and support the implementation and maintenance of the Epic Utilization Management module to enhance operational efficiencies and ensure compliance with regulatory requirements. This role will report to Manager, Authorizations Business Product Management.

Essential responsibilities:

System Support: First tier support for Utilization Management team and integrated team workflows with, Compliance, Contracting, Concurrent review, Enrollment, Claims, Customer Services, Regional Services and Provider data teams. Route and track complex issues, system configuration requests to IT and other teams as necessary.
Analysis & Solutioning: Conduct analysis for issues identified. Intake enhancement requests and recommend potential system solutions.
Requirements gathering: Gather business requirements from necessary business stakeholders. Secure leadership approval of the requirements and system workflow/design as necessary.
Testing: Point person for all testing needs for system updates – Operational changes, enhancements, reports, and projects.
Key operational reports: Generate and distribute reports using Epic Reporting Workbench (RWB) for UM Leadership and Compliance Audits. Perform necessary data analysis to present summaries and recommendations relevant to the audience. Collaborate with Informatics team for complex reports, dashboards.
System adoption: Distribute announcements for system updates and participate in system demonstration, training content creation as necessary. Coordinate to ensure operationalization of system workflow changes working with internal and external stakeholders.
Adjudication Rules: Own adjudication rules monitoring, maintenance, and identify opportunities to improve auto approval rate in Tapestry, in collaboration with Business and IT Teams.
Codes maintenance: Own procedure codes and code levels maintenance, in collaboration with Business and IT Teams.
Codes analysis: Participate in analysis and present recommendations for codes monitoring and outliers identified by Informatics team(s)
Workflow optimizations: Own integrated UM workflows in Tapestry, in collaboration with Business and IT Teams
Work queues: Own WQ routing and maintenance, in collaboration with Business and IT Teams
IT Project participation: Participate in Epic IT projects representing the department, mitigating potential risks to Utilization Management team KPIs – Electronic adjudication (EA) rate, Turnaround time (TAT) compliance and pending work queue volumes.
Data Governance: Participate in Data Governance stewardship meetings and initiatives representing -Utilization Management team to identify and solve for the team’s data needs.

Skills and Experience:

Epic Tapestry UM/CM or other related modules certification required.
A minimum of 3 years of experience with Epic Reporting Workbench required.
A minimum of 3 years of experience as Business/Systems Analyst or similar position required.
Demonstrated ability to elicit, analyze and communicate business requirements effectively.
Ability and willingness to build positive relationships with internal and external teams.
Excellent communication, critical and analytical thinking, and problem-solving skills.
Ability to exercise good judgment and prioritize multiple tasks.
Ability to work independently, showing initiative and being pro-active.
Proficient with MS Office: Excel, Outlook, Word, Teams and PowerPoint.

Additional Information:

Salary: $100,000 - $127,000 Annual

Hill Physicians is an Equal Opportunity Employer

Quick Apply

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systems analyst jobs in milpitas, ca

Utilization Management Business Analyst II (Fixed Term) - 26-75

Systems Analyst

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