Application System Analyst Salary in Nashville, TN

DESCRIPTIONAre you passionate about solving business challenges at a global scale? Amazon Employee Services is looking for an experienced Business Analyst to join our team and help unlock insights which take our business to the next level.The ideal candidate will be excited about understanding and implementing new and repeatable processes to improve our employee global work force management experiences. They will do this by partnering with key stakeholders, being curious and comfortable digging deep into the business challenges to understand and identify insights toward standards to improve our ability to globally scale this program. This role requires an individual with excellent analytical abilities who knows and loves our customers (internal and external) and will work back from the customer to enable self-sufficiency by providing simple, intuitive self-service tools reporting tools across multiple planning and operations teams. We will implement the overall self-service and user experience for stakeholders and partners by integrating our applications with other Amazon systems and platforms like our Customer Service staffing data and management system, and telephony metrics ensuring a consistent global experience.We are open to hiring candidates to work out of one of the following locations:Austin, TX, USA | Nashville, TN, USA | Seattle, WA, USABASIC QUALIFICATIONS- 3+ years of tax, finance or a related analytical field experience- 5+ years of Excel (including VBA, pivot tables, array functions, power pivots, etc.) and data visualization tools such as Tableau experience- 3+ years of business or financial analysis experience- Bachelor's degree or equivalent- Experience defining requirements and using data and metrics to draw business insights- Experience with Excel- Experience with SQL- Experience making business recommendations and influencing stakeholdersPREFERRED QUALIFICATIONS- Experience with modern JavaScript frameworks and libraries such as React including knowledge of when to use them as well as experience working with deployment teams, dev ops, and / or AWSAmazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please visit https://www.amazon.jobs/en/disability/us.Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $59,500/year in our lowest geographic market up to $143,100/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. Applicants should apply via our internal or external career site.

Job DescriptionOver 20 years ago, Stride was founded to provide personalized learning - powered by technology. We reached students where they were in their own journeys. We knocked down their barriers to great education. And we gave every learner equal opportunity to succeed - however they defined success. Stride innovated the learning experience with online and blended learning that prepared them for their lives ahead.Stride is a community of passionate leaders. Whether teachers, engineers, curriculum writers, or financial managers - whatever your expertise or role, we all work to empower futures through learning. And changing the trajectory of learning itself is one of our greatest missions. Join us in developing more effective ways to learn and helping learners build the skills and confidence they need to make their way forward in life.The Workday HCM Sr Business Systems Analyst performs a wide range of activities that support the optimal use, functioning and data integrity of Workday. Residing within the Human Resources (HR) department and working closely with the IT Department, the position liaises across the HR teams to provide user support and education as well as feedback, analysis and reporting on data, workflow and system functionality for strategic business planning and decision-making.A successful HCM Sr Business Systems Analyst will have a solid foundation experience in Workday Core HR and Recruiting modules. Firsthand, production support experience with Workday configuration, implementation, reporting, and security administration is critical to the success of this role.This role will primarily focus on Workday Recruiting and Onboarding supporting the Talent Acquisition team, HR Business Partners, and our Financial Planning teams to support not only Talent Acquisition, but also our headcount planning reporting requirements.Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.Workday Recruitment and Core HCM HR Technology Production SupportSupport all enhancements as part of the production support teamWorkday, or other HR technologies, configuration experience for projects and/or production supportPerform testing activities to ensure development/configuration work meets user requirements, such as functional testing, end-user testing, developing testing criteria to drive test script.Create and support ad hoc reports, metrics and dashboardsComplete data audits to ensure the accuracy and integrity of HRIS informationResearch and resolve issues and errors related to data transfers from HRIS to other K12 systems or vendorsPartner with the IT Department in the design and development of system interfaces to support systems interoperabilityComplete user access audits to ensure HR data is appropriately restrictedExecute bulk employee changes via EIBWorkday Product Area Subject Matter Expert- Talent Acquisition (TA)Maintain expertise on new functionality/features/capabilities in Workday, wider industry, and technology trendsConfigure, test, deploy Workday business processes and make recommendations for improvement based on requirements and professional business knowledgeCreate reports, metrics, and dashboards to support the TA and Financial planning teams for position management and headcount planningCreate training materials for HR team and end users to improve training and operational procedures to increase efficiency and productivitySupport new systems and conduct user training in the use and features of systems and applications and other areas as needed(requirements, configurations, testing, training)Supervisory Responsibilities: This position has no formal supervisory responsibilities.Required Qualifications: 6+ years with Workday HCM8+ years of HRIS experience specification supporting Workday Recruiting and Onboarding5+ years working in/with Talent Acquisition teams supporting implementations and production supportMS 365; Web proficiency.Ability to travel 10% of the timeAbility to clear required background checkCertificates and Licenses: List OR None requiredPreferred Qualifications:· Bachelor's degree in human resources, Business Administration or Computer Science preferred· Exceptionally collaborative - able to bring together diverse teams with a common goal and drive to projects to time and completion· Demonstrated effective communication skills, facilitation skills, and the ability to deal with ambiguity in an environment with competing priorities· Naturally organized; strong systems thinker and planner, able to translate discussion and ideas into deliverables· Highly results oriented - proven ability to achieve results in a collaborative manner. Demonstrable tenacity, willing to do what it takes to get the job done· Experience with Global HCM ERPs (Workday, Oracle)· Knowledge of data privacy regulations· Extensive HR Technology management experience· Experience managing complex, multi-disciplinary projects· Adequate experience at a senior level leading a team· Experience working in an Agile Development environment· Strong project management skillsWork Environment:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.· This position is remote and open to residents of the 50 states, D.C.Compensation & Benefits:This position is remote and open to residents of the 50 states, D.C. We anticipate the hourly range to be $75.00 per hour to $150.00 per hour. ​The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is "at-will" as governed by the law of the state where the employee works. It is further understood that the "at-will" nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.Stride, Inc. is a Federal Contractor, an Equal Opportunity/Affirmative Action Employer and a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status age, or genetics, or any other characteristic protected by lawJob TypeContractorThe above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is "at-will" as governed by the law of the state where the employee works. It is further understood that the "at-will" nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.Stride, Inc. is a Federal Contractor, an Equal Opportunity/Affirmative Action Employer and a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status age, or genetics, or any other characteristic protected by law.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

DESCRIPTIONWe are a passionate team of doers that apply cutting-edge advances in Supply Chain technology to solve real-world problems and transform our customers’ experiences in ways we can’t even imagine yet. As a System Engineer, Supply Chain Technology, you will be working with a unique and gifted team and partnering with cross-functional teams. As a member of Infrastructure Architecture team, you will be responsible for the design, build and maintenance of the end to end Oracle ERP technology stack. Key job responsibilities• You will focus on enabling the Oracle ERP footprint within AWS. • You will help deliver on a strategy and build cohesiveness and use of Amazon's Web Services (Amazon EC2, Amazon S3, and Amazon EBS). • You will be eliminating obstacles through creative and adaptive approaches, ensure deployment readiness for each functional area, assess risks, develop mitigation plans, and communicate efficiently and professionally. • You will provide architectural guidance to a team of Oracle functional analysts covering all aspects of multiple locations. • Ensure delivery of solution design and enhancement artifacts align to established design standards within the organization and best leverage the capabilities of Oracle EBS for future growth.A day in the lifeAmazon offers a full range of benefits that support you and eligible family members, including domestic partners and their children. Benefits can vary by location, the number of regularly scheduled hours you work, length of employment, and job status such as seasonal or temporary employment. The benefits that generally apply to regular, full-time employees include: - Medical, Dental, and Vision Coverage - Maternity and Parental Leave Options - Paid Time Off (PTO) - 401(k) Plan   If you are not sure that every qualification on the list above describes you exactly, we'd still love to hear from you! At Amazon, we value people with unique backgrounds, experiences, and skillsets. If you’re passionate about this role and want to make an impact on a global scale, please apply!About the teamAbout the Team:Here at Amazon, we embrace our differences. We are committed to furthering our culture of inclusion. We have ten employee-led affinity groups, reaching 40,000 employees in over 190 chapters globally. We have innovative benefit offerings, and host annual and ongoing learning experiences, including our Conversations on Race and Ethnicity (CORE) and AmazeCon (gender diversity) conferences. Amazon’s culture of inclusion is reinforced within our 16 Leadership Principles, which remind team members to seek diverse perspectives, learn and be curious, and earn trust.We are open to hiring candidates to work out of one of the following locations:Austin, TX, USA | Nashville, TN, USABASIC QUALIFICATIONS• 5+ years’ experience with Oracle ERP infrastructure, designing highly availably architectures• BA/BS degree preferred or equivalent work experience required• Ability to promptly assess and address security vulnerabilities, issues protecting ERP applications, database, infrastructure and technology stack.• Knowledge of and experience in using and implementing ITIL processes and standards• Ability to partner with Oracle ERP application teams, shared services, core technology peers and Oracle in design, development, implementation and operational support of Oracle ERP technology solutions• Experience managing architecture and operations activates to ensure ERP compute infrastructure is used efficiently and produces a long – term business benefit.• Experience in a Productions operations and support for 24X7 operations• Strong verbal and written communications skills.• Experience supporting Oracle EBS 12.2.x Database 19c RAC and Data Guard Databases along with other applications and databases• Experience Automating routine DBA tasks using python, shell scripts, OEM, etc.• Experience Triaging issues and providing root cause analysis• Knowledge and skills in holistic Performance Tuning/Optimization across the Oracle Technology stack (Database, Web Logic Server, ApEx, ORDS).• Capacity planning & Forecasting• Hand on experience performing Oracle DB & eBusiness Suite (EBS) cloning, Patching, Upgrades, Backup & Restore of Database and ApplicationsPREFERRED QUALIFICATIONS• 7+ years' experience within Oracle eBusiness Suite (EBS) applications environment (installation, configuration, upgrade, patching). • Preferably R12.2.x environment with Database 19c• Experience in designing, developing, and testing updates and new enhancements within RDBMS and Oracle DB Concepts• Excellent written and verbal communication skills• Ability to think abstractly and deal with ambiguous/undefined problems• Obsession with quality, operational excellence, and customer experience• Experience taking a leading role in building complex software system• Demonstrated ability to manage tradeoffs and evaluate opportunistic new ideasAmazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please visit https://www.amazon.jobs/en/disability/us.

U.S. Government Technology, Claims & Enrollment - Application Development Senior ManagerPosition Overview:The job profile for this position is Application Development Senior Manager, which is a Band 4 Management role.The Claims & Enrollment Applications organization is looking for an experienced innovative and motivated leader with strong technology acumen, a strategic mindset, and demonstrated empathic collaboration.The Application Development Senior Manager will oversee a team dedicated to the end-to-end implementation of solutions for the core administration of Medicare Advantage and CareAllies health plans.To ensure future success and cultivate a sustainable and agile team, this leader will play a critical role in identifying and developing team practices, skills, and partnerships needed to achieve business and technology objectives.Key Responsibilities:Lead developers, analysts, and testers in the delivery of software solutions for supported core administration platforms, including QNXT and Capitation Adjudication (f.k.a. EZ-CAP).Build partnerships with Medicare and CareAllies programs and operations, and collaborate to prioritize, design, and implement new and modified capabilities, processes, and insights supporting business objectives.Coordinate, delegate, and prioritize team responsibilities with clear alignment to business milestones, system processes, technology currency, compliance and audit needs, service-level agreements, and other relevant metrics, controls, and constraints.Build and retain talent through strategic hiring, contracting, onboarding, and career development, including professional and technical mentorship.Define and drive relentless improvement to processes, data, and documentation, including onboarding materials.Lead and innovate through change, both internal and external, with attention to emerging technology and technical debt, as well as evolving business strategy and regulatory requirements.Collaborate with other teams and leaders within Claims & Enrollment Applications and the broader U.S. Government Technology organization to establish common strategy, goals, metrics, and practices.Required Experience / Qualifications:Bachelor's degree in Computer Science, Systems Engineering, or other related discipline and/or equivalent work experience.Experience working within Healthcare, Medicare and government regulationPrior experience in a technology management role.Experience working in a distributed software environment, with both packaged vendor solutions and in-house code.Business acumen and experience within a highly-regulated managed care line of business.Demonstrable problem solving, collaboration, and communications skills within a large matrix team setting.Desired Experience / Qualifications:Experience with TriZetto products, e.g. QNXT, QCS, and Facets.Leadership experience within a production support or software engineering team.Working knowledge of DevOps principles and tools, such as Git, Jira, and Octopus Deploy.Working knowledge of software quality methodologies and software design patterns, including cloud-based systems, and experience driving software quality with attention to non-functional requirements.Working knowledge of agile principles, and experience leading in a Scaled Agile paradigm.Excellent written and oral communication and presentation skills across a variety of technical and non-technical audiences.Experience maintaining CMS Universes, Sarbanes-Oxley, and other relevant controls, including supporting system audits and action plans.Statement of Commitment:Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link .If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Datasite is where deals are made. We provide the data rooms and SaaS technology used in M&A and other high-value transactions, to deliver projects in more than 170 countries. Carrying that success into the future is all about you. Your useful skills, your unusual experience, your unique ideas. Everyone here brings something unexpected. What's yours? Invest your talents in us, and we'll return the compliment.Job Description:Datasite is looking for an experienced Financial Systems Analyst, Lead. If you are a Finance expert and a technology enthusiast, this is very likely your dream job! The analyst will be part of a team that offers global financial solutions, operational support, and opportunity to lead change throughout the company. Support Workday Adaptive Planning new model build, daily system support, product feature requests and drive the adoption of system enhancements. The analyst will work with Finance and other internal stakeholders to understand business requirements, configure, test, and implement Workday functionality to meet the Finance department's technology needs. The analyst will drive best practice financial modeling, analytics, dashboards, KPI's and reports necessary to support the business. Plan, implement and coordinate system upgrades, enhancements, integrations, and maintenance. Use your financial expertise to support financial analysis and reporting requests. Continually improve forecast models and end-user system experience.About YouYou have a Finance background, advanced technical skills and demonstrated ability to deliver Workday solutions that best meet business objectives. You are a team player and a life-long learner. You are comfortable owning business relationships, running meetings with project stakeholders. You understand Datasite's business, our system landscape, our functionalities, and structure of our metadata. You understand dependencies, risks, and cross-functional system impacts. You can lead change management, communication, and training to drive adoption and roll-out new functionality to system users. You view the business as your customer and bring initiative, self-direction, and ability to meet deadlines while understanding when to escalate issues and risks. Major ResponsibilitiesCreate technical configuration including business process workflow, custom fields, custom validations, integration monitoring and access rights. Review and analyze spreadsheet based financial models and re-engineer into Adaptive Planning, develop custom reports and dashboards.Meet/exceed customer (internal and external) expectations through proactive communication and business partnership.Review stakeholder input critically and play a role in designing and recommending the best solutions for Datasite's overall objectives.Demonstrate accountability for solutions delivered and overall work quality. Understand technical systems infrastructure and company business processes and workflow.Perform Workday administration including security maintenance, tenant configuration, master data management, data loads, issue monitoring / resolution and upgrades.Own and monitor all integrations for Adaptive Planning and resolve integration issues.Provide incident management. Perform troubleshooting and resolve production issues timely.Adhere to change management, maintain data integrity, and establish a well-controlled systems environment by defining, documenting, and enforcing system standards.Participate in regular review of Adaptive Planning, Workday Financials and Workday HCM systems projects. Work with stakeholders to prioritize work to align with company priorities. Leverage business knowledge and expertise to identify process or system improvements that drive the most value.Develop and maintain necessary end user training procedures, guidelines, and standard operating policies (SOPs) and data/workflow diagrams.Provide daily operational support, training and increase user engagement.Continuously develop new technical knowledge and maintain proficiency and certification in Workday Adaptive PlanningRequired SkillsStrong interpersonal skills, as well as excellent written and verbal communication skillsGenuine intellectual curiosity for solving business problems and challenges unique to the M&A market with elegant efficient solutions. Ambitious work ethic, go-getter mindset and passion to drive results.Resourceful, independent self-starter with an aptitude for learning new technologies.Demonstrated ability to analyze complex data sets, identify key trends / drivers and communicate conclusions clearly and concisely.Experience with custom integrations: document, design, build, test, and manage.Well organized, detailed oriented and able to manage multiple projects simultaneously.Strong problem-solving skills, technical aptitude, and business acumen.Liaise with Workday Community and third-party Workday Support team to identify and implement best practices.Adapt quickly to changing business and technology needs.QualificationsBachelor's Degree in Finance, Information Technology or related field2+ years' experience implementing Adaptive Planning is preferred.7+ years Finance experience desired. Financial planning experience including GAAP knowledge, internal controls, revenue recognition (ASC 606), driver-based financial forecast modeling (P&L, Balance Sheet and Cash Flow), financial reporting, web reporting, etc.Global experience (currency, revaluation, translation, intercompany, etc.)Workday Financials and HCM experience helpful but not required.Demonstrated experience designing, building, and implementing strategies to enhance business performance and in application management (configuration, integration monitoring and security administration)Experience scoping and executing QA and UAT test cycles.Experience in process improvement, workflow, benchmarking and / or evaluation of business processes (Six Sigma certification, internal audit experience a plus)Solid organizational skills, proven ability to prioritize and deliver quality results on time.As a global organization, Datasite knows that diverse perspectives are essential to our success. We're committed to maintaining a diverse workforce to serve our customers around the world. Datasite is an equal opportunity employer (EEO) and furthers the principles of EEO through Affirmative Action.

Job Summary:Our client is seeking a Senior Systems Analyst who will be responsible for the overall technical design, planning, implementation, and recovery procedures for mission-critical enterprise systems. This is an exciting opportunity to join a high performing team in a growing company! This role will serve as a technical expert in the areas of WAN/LAN infrastructure, ERP, Security Infrastructure, Phone and E-mail systems, and Disaster Recovery environment and procedures. The selected candidate will Investigate and analyze feasibility of system requirements and develops system specifications. If you are interested in identifying methods, solutions, and providing project leadership to provide a high level of service to the customers of the department, then apply today!Duties:Manage infrastructure services in a production environment to ensure high availability and acceptable levels of performance on mission-critical resourcesPartner with various teams to identify and evaluate alternatives and recommend solutions to best meet staff and user business requirementsRecommend system concepts to senior management to ensure agreement with system principles and existing system processesLead problem-solving effortsCoordinate external consultants, computer programmers, and system analysts and supervise their activities to ensure implementation of recommended enhancements to the ERP systemInvestigate and analyze the feasibility of system requirements and develop system specificationsDevelop new system and application implementation plans, custom scripts, and testing procedures to ensure operational reliabilityDevelop procedures to maintain security and protect systems from unauthorized use, acts of nature, and user abuse and provide remediation assistance when applicableEstablish and maintain the overall plans for executing all Disaster Recovery procedures and understand their interdependenciesDevelop and coordinate project directions and schedules to maximize benefits and minimize impacts on the customer organizationsDesired Skills/Experience:Bachelor's Degree in Computer Science, Information Technology, or a related discipline5+ years of work experience in complex systems design, programming, and systems software and supportExperience with ERP and networkingAbility to plan, organize, and document complex system design activities and to configure systems to be consistent with institutional policies and proceduresAbility to communicate technical and complex information both verbally and in writingAbility to establish and maintain cooperation, understanding, trust, and credibilityAbility to perform multiple tasks concurrently and respond to emergencies effectivelyBenefits:Medical, Dental, and Vision Insurance plans401K Offered

Cigna Medicare Part C Appeals Reviewer: Appeals Processing AnalystWe will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions.The Appeals Processing Analyst reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately to appeals from members, member representatives and providers regarding denials for services and denials of payment via oral and written communication; researching and applying pertinent Medicare and Medicaid regulations to determine the outcome of the appeal; provide oversight and assistance to Medical Management staff with resolution of appeal by interpreting Medicare and Medicaid regulations; reviewing documentation to ensure that all aspects of the appeal have been addressed properly and accurately; e) prepare case files for submission to Independent Review Entity, which also include writing required case summary on behalf of the plan to support appeal resolution.This position is full-time (40 hours/week) with the scheduled core business hours generally 8:00 am - 5:00 pm CST - Monday through Friday with occasional weekend and holiday coverage. The position requires 5 eight hour shifts per week. Job Requirements include, but not limited to: Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part CAbility to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ensure the correct processing of the appeal.Excellent prioritization and organizational skills; effectively manage competing priorities and multiple deadlines.Review, research and understand how request for plan services and claims submitted by consumers (members) and physicians/providers was processed and determine why it was deniedIdentify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate determination of the appeal.Make an appropriate administrative determinations as to whether a claim should be approved or denied based on the available information and as well as research and provide a written detailed clinical summary for the Plan Medical Director. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights are applicable and then if necessary, route to the proper area/department for their review and decision/responseComplete necessary documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.Communicate appeal information to members or providers with the required timeframes well as to all appropriate internal or external parties (regulatory agencies, plan administrators, etc.)Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendanceAdhere to department workflows, desktop procedures, and policies.Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals.Read Medicare guidance documents report and summarize required changes to all levels department management and staff.Support the implementation of new process as needed.Based on case work and departmental reporting, ability to identify and report trends and/or areas of opportunities to department management and peers. .Understand and investigate billing issues, claims and other plan benefit information. .Assist with monitoring, inquiries, and audit activities as needed.Additional duties as assigned.QualificationsEducation: Licensed Practical Nurse (LPN) or Registered Nurse (RN)3-5 years' experience in Medicare Advantage Health Plans or related experience in a healthcare setting handling complex inquiries and requests for serviceWorking knowledge of Medicare Advantage, Original Medicare and or Medicaid appeal regulations. Understanding of Local Coverage Determinations, National Coverage Determinations, Medicare claim process and plan rules along with working with of ICD9, ICD10Superb written and oral communication skills with particular emphasis on verbally presenting case summary and decisions.Must have the ability to work objectively and provide fact based answers with clear and concise documentation.Proficient in Microsoft Office products (Access, Excel, Power Point, Word).Prioritizes workflow on a consistent basis, applies key HIPAA and CMS guidelines in daily workflow, and meets turnaround times for assigned cases.Ability to multi-task and meet multiple competing deadlines.Ability to work independently and under pressure.Attention to detail and critical thinking skills..Learning and Applying QuicklyA relentless and versatile learnerOpen to changeAnalyzes both successes and failures for clues to improvementExperiments and will try anything to find solutionsEnjoys the challenge of unfamiliar tasksQuickly grasps the essence and the underlying structure of anythingWritten CommunicationsIs able to write clearly and succinctly in a variety of communication settings and stylesCan get messages across that have the desired effectFunctional/Technical SkillsClinical and Non Clinical functional or technical proficiencyAppropriate judgment and decision making becauseKnowledge of applicable policy and business requirementsComputer skills and ability to work in various system applications.Detail oriented and Has the functional and technical knowledge and skills to do the job at a high level of accomplishmentTime ManagementSpends his/her time on what's importantQuickly zeros in on the critical few and puts the trivial many asideCan quickly sense what will help or hinder accomplishing a goalEliminates roadblocksUses his/her time effectively and efficientlyConcentrates his/her efforts on the more important prioritiesGets more done in less time than othersCan attend to a broader range of activitiesProblem SolvingUses rigorous logic and methods to solve difficult problems with effective solutionsProbes all fruitful sources for answersCan see hidden problemsLooks beyond the obvious and doesn't stop at the first answersIs excellent at honest analysisIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Job Requirements include, but not limited to: Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part CAbility to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order to ensure the correct processing of the appeal.Excellent prioritization and organizational skills; effectively manage competing priorities and multiple deadlines.Review, research and understand how request for plan services and claims submitted by consumers (members) and physicians/providers was processed and determine why it was deniedIdentify and obtain all additional information (relevant medical records, contract language and process/procedures) needed to make an appropriate determination of the appeal.Make an appropriate administrative determinations as to whether a claim should be approved or denied based on the available information and as well as research and provide a written detailed clinical summary for the Plan Medical Director. Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights are applicable and then if necessary, route to the proper area/department for their review and decision/responseComplete necessary documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.Communicate appeal information to members or providers with the required timeframes well as to all appropriate internal or external parties (regulatory agencies, plan administrators, etc.)Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendanceAdhere to department workflows, desktop procedures, and policies.Work with all matrix partners to ensure accurate and timely processing of Medicare Appeals.Read Medicare guidance documents report and summarize required changes to all levels department management and staff.Support the implementation of new process as needed.Based on case work and departmental reporting, ability to identify and report trends and/or areas of opportunities to department management and peers. .Understand and investigate billing issues, claims and other plan benefit information. .Assist with monitoring, inquiries, and audit activities as needed.Additional duties as assigned.QualificationsEducation: Licensed Practical Nurse (LPN) or Registered Nurse (RN)3-5 years' experience in Medicare Advantage Health Plans or related experience in a healthcare setting handling complex inquiries and requests for serviceWorking knowledge of Medicare Advantage, Original Medicare and or Medicaid appeal regulations. Understanding of Local Coverage Determinations, National Coverage Determinations, Medicare claim process and plan rules along with working with of ICD9, ICD10Superb written and oral communication skills with particular emphasis on verbally presenting case summary and decisions.Must have the ability to work objectively and provide fact based answers with clear and concise documentation.Proficient in Microsoft Office products (Access, Excel, Power Point, Word).Prioritizes workflow on a consistent basis, applies key HIPAA and CMS guidelines in daily workflow, and meets turnaround times for assigned cases.Ability to multi-task and meet multiple competing deadlines.Ability to work independently and under pressure.Attention to detail and critical thinking skills..Learning and Applying QuicklyA relentless and versatile learnerOpen to changeAnalyzes both successes and failures for clues to improvementExperiments and will try anything to find solutionsEnjoys the challenge of unfamiliar tasksQuickly grasps the essence and the underlying structure of anythingWritten CommunicationsIs able to write clearly and succinctly in a variety of communication settings and stylesCan get messages across that have the desired effectFunctional/Technical SkillsClinical and Non Clinical functional or technical proficiencyAppropriate judgment and decision making becauseKnowledge of applicable policy and business requirementsComputer skills and ability to work in various system applications.Detail oriented and Has the functional and technical knowledge and skills to do the job at a high level of accomplishmentTime ManagementSpends his/her time on what's importantQuickly zeros in on the critical few and puts the trivial many asideCan quickly sense what will help or hinder accomplishing a goalEliminates roadblocksUses his/her time effectively and efficientlyConcentrates his/her efforts on the more important prioritiesGets more done in less time than othersCan attend to a broader range of activitiesProblem SolvingUses rigorous logic and methods to solve difficult problems with effective solutionsProbes all fruitful sources for answersCan see hidden problemsLooks beyond the obvious and doesn't stop at the first answersIs excellent at honest analysisIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

DescriptionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Sr Application Engineer Meditech Expanse opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn More About Employee BenefitsNote: Eligibility for benefits may vary by location.We are seeking a Sr Application Engineer for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!Job Summary And QualificationsThis is a senior level position focused on the Meditech Expanse Engineering Team. This position will be responsible for development, support and maintenance of Enterprise clinical applications and products deployed at HCA as part of the Meditech Expanse implantation and support. This position will also be responsible for ensuring that clinical solutions strategically align with HCA business initiatives and enterprise standards. This candidate will provide technical skills that cover application and software engineering and/or a particular technical discipline that is of significance to HCA Healthcare and its Meditech facilities. They will contribute to technical projects meant to deploy, enhance or support the Expanse system and provide ongoing guidance and recommendations to leadership and stakeholders on technical issues or strategic initiatives. Investigate, evaluate and become proficient in new technologies and technical disciplines that are of significance to HCA Healthcare.***This position is located in Nashville, TN ***General ResponsibilitiesProvides hands-on technical leadership for solution development and deploymentAnalyze various work requests, estimate, ensure request assignment and timely closureAnalyze business requirements to design, architect, develop and implement highly efficient, highly scalable solutionsResponsible for development and unit testing of solutionsProvides guidance to other developers in completion of technical deliverablesParticipate as appropriate with analysts and users to define requirements and solutionsWork with other technical teams to integrate the Data Repository into solutions where clinical data is requiredProvide routine support and maintenance support to current production applicationsExcellent verbal and written communication skillsStrong interpersonal skills and proven leadership skills working with diverse and complex projects Required / Preferred Experience & Education2+ years of relevant experience - RequiredBachelor's Degree - RequiredSoftware application development experience - RequiredExperience with writing, creating and running SQL queries - RequiredExperience using .NET applications using C# and object-oriented methodologies - PreferredEnterprise reporting tools (PowerBI, Tableau) concepts, objects, and functions experience - PreferredExtensive experience with Meditech applications and solutions - PreferredExperience with product management and operations - PreferredCloud Experience - Preferred Additional Qualifications / ResponsibilitiesManage multiple priorities and multi-taskCan resolve complicated production support issuesAble to establish and meet delivery datesStrong analytical and technical skills with ability to analyze issues, assess technical risks, and recommend sound solutions in a timely mannerAble to build strong relationships within department and with other technical peopleAbility to work independently as well as with a team on complex projects.Adeptness to learn new assignments, technologies and applications quickly and manage multiple assignments simultaneouslyOther skills regularly utilized within the team include: Interfaces with MEDITECH, Mainframe TSO, .Net, C#, Visual Studio, ASP and ASP.NET, Active Reports .NET, JAVA, HTML, SQL, Informatica, Business Objects, Relational Databases (such as SQL Server, Oracle or Teradata), Multidimensional Database (such as Essbase or SQL Server Analysis Services). All desirable but not required. Ability to participate in after-hours supportPosition is located in Nashville, Tennessee HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Across HCA Healthcare's more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare. Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing ExecutiveIf you find this opportunity compelling, we encourage you to apply for our Sr Application Engineer Meditech Expanse opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!Sr Application Engineer Meditech Expanse in Nashville, Tennessee: https://careers.hcahealthcare.com//jobs/13996652-sr-application-engineer-meditech-expanseWe are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Classification: Contract-To-HireContract Length: 3-6 Months, highly likely to convert permanentLocation: Hybrid Onsite x2 days @ 2555 Park Plaza, Building 2, Nashville, TN 37203Job ID: #16417250CereCore® provides EHR implementations, IT and application support, IT managed services, technical staffing, strategic IT consulting, and advisory services to hospitals and health systems nationwide. Our heritage is in the hallways of some of America's top-performing hospitals. We have served as leaders in finance, operations, technology, and as clinicians turned power users and innovators. At CereCore, we know firsthand the power that aligned technology can provide in delivering care. As a wholly-owned subsidiary of HCA Healthcare, we are committed to bringing the expertise we have gained as operators to deliver IT services that emphatically address the needs of health systems across the United States. Our team of over 600 clinical and technical professionals has implemented EHR systems in more than 400 facilities and provides managed services support to tens of thousands of health system employees. We work tirelessly to provide healthcare organizations specialized IT services that support the delivery of patient care. The Link to Life-Saving Care.CereCore is seeking a Senior Contract Analyst to join our team in Nashville, TN. In this role you will be responsible for providing business, technical, and legal review and analysis of templated ITG contracts including, but not limited to, order forms, statements of work, non-disclosure agreements (NDA), and business associate agreements (BAA) in support of operations and strategic initiatives of the HCA enterprise. Ideal candidates have 7-8 years of professional experience working on a procurement, buyer, purchasing, contracts or negotiations type team and is comfortable with redlining and negotiating complex contracts with Information Technology vendors and partners including software and IT services providers. Responsibilities This role will be required to utilize the Contract Management System (CMS) to facilitate and execute the ITG contract process as well as perform ongoing CMS maintenance to ensure data integrity.This position requires contracting experience and continued development in the areas of contracting and negotiation with a focus on healthcare information technology subject matter including, but not limited to, professional services, various software licensing methods (on-premise and cloud offerings (Software as a Service, Platform as a Service, and Infrastructure as a Service)), diverse regulatory policies including HIPAA, consumer protection, and GDPR, and information security practices.This position requires keeping up with current technology trends and naming conventions in general and within health care. This position supports the HCA enterprise, including all ITG business units, and reports directly to the Contract Manager. This position works closely with Technology Law Group, Directors, Business Owners, Solution Leaders, Project Managers, Financial Analysts, Strategic Sourcing and occasionally works directly with area VPs and other Executive Management. This position also represents ITG in direct interactions with non-ITG stakeholders, including affiliates such as our group purchasing organization, other HCA enterprise business units and departments, outside counsel, and vendor representatives.This role requires the ability to recognize if / when data is being shared outside of the enterprise, the type of data, and how that data will be utilized.RequirementsBachelor's Degree7-8 years of professional experience working on a procurement, buyer, purchasing, contracts or negotiations type team.5+ years experience redlining and negotiating contracts with software and IT professional services vendorsThis position requires sound judgment, high ethical standards and a strong attention to detail.Must have the ability to work effectively and efficiently on multiple tasks in parallel, while meeting deadlines and maintaining high quality standards.Rudimentary knowledge and understanding of IT contracting methodologies is preferred.Must be comfortable with Microsoft Office products and able to learn and utilize new technology resources as required.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.