Senior Systems Analyst – Hospital Billing and Claims

🔥 30 minutes ago

🏈 Ohio – Remote

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⏰ Full Time

🟠 Senior

⚙️ Systems Engineer

🦅 H1B Visa Sponsor

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Logo of OhioHealth

OhioHealth

10,000+ employees

Founded 1891

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

OhioHealth is a not-for-profit healthcare system headquartered in Columbus, Ohio, dedicated to providing exceptional patient care and a wide range of medical services. With facilities spread across multiple locations, OhioHealth offers comprehensive healthcare services including cancer care, maternity, midlife clinics for women, virtual health appointments, and specialized care for transgender and LGBTQ patients. They also focus on patient education with health and wellness classes, support groups, and health quizzes. OhioHealth is committed to improving community health through various community relations and health initiatives. They provide resources such as price transparency, financial assistance, and patient rights information to enhance the healthcare experience for all patients.

📋 Description

• Gather and refine stakeholder requirements, map workflows, and design Epic builds aligned with operational goals and policy • Create and maintain specifications, decision logs, design documents, configuration documentation, and process documentation • Conduct gap analyses for upgrades, regulatory changes, and new initiatives • Manage smaller system implementation and upgrade projects using waterfall or agile methodologies • Lead project teams and cross-functional collaboration • Configure Epic records, master files, profiles, rules, security classes, and workflows • Maintain environment parity and follow change-management and build-naming conventions • Develop and execute unit, integrated, and UAT test plans; resolve defects and document test evidence • Validate interfaces, printing, reporting, downstream workflows, and regression coverage • Coordinate release management, environment moves, and downtime procedures • Provide go-live and post-live hypercare, rounding, office hours, tip sheets, and at-the-elbow support • Manage service requests and incidents, meeting SLAs through triage and root-cause analysis • Provide advanced support for Epic, Workday, Kronos, and other applications • Integrate Epic and third-party systems with IT and clinical teams • Collaborate on HL7, FHIR, PDF, CCD/CCDA, Clarity/Caboodle, registry, and operational reporting workflows • Ensure data integrity and consistent metric definitions • Support CMS, Joint Commission, audit, privacy, security, and policy requirements • Contribute to ITIL-aligned incident, problem, change, and configuration management • Design and implement customized training programs • Govern and maintain the CareConnect curriculum and training environments • Communicate system releases and upgrades • Manage, prioritize, assign, resolve, and document end-user training requests and incidents • Identify support trends and implement preventative improvements

🎯 Requirements

• Bachelor's degree in computer science, Information Technology, Healthcare Administration, or a related field • In lieu of degree, 10+ years of experience in system analysis and support within a healthcare environment • Minimum of 5–7 years of experience in system analysis and support within a healthcare environment • Experience with Epic applications and healthcare workflows • Strong requirements gathering, workflow design, and testing skills • Familiarity with ITIL, change control, SDLC practices, system governance, and waterfall/agile methodologies • Ability to communicate with clinical and operational stakeholders and managed service providers • Ability to produce clear documentation • Proven experience managing complex projects and leading cross-functional teams • Preferred current Epic certification or proficiency in relevant modules • Preferred 3+ years of Epic build and configuration experience • Experience with system integration, HL7, FHIR, and interface testing • Exposure to SQL/Clarity, Caboodle, SlicerDicer, Radar, or Reporting Workbench • Prior work in patient access, billing, coding, finance, or clinical operations • Previous leadership or supervisory experience • ITIL Foundation certification desired but not required • Certifications in one or more Epic applications • Experience in a large healthcare system or hospital setting • Experience with other healthcare applications and systems • Knowledge of healthcare regulations and compliance standards • Familiarity with AWS or Azure • Experience with business intelligence and analytics tools • Advanced degree in a related field is a plus

🏖️ Benefits

• Work-from-home arrangement for employees located in Ohio • Learning and growth opportunities • Tools and resources to accomplish the organization's mission • Great Place to Work Certified™ organization • 40 scheduled weekly hours • Equal employment opportunity and compliance with applicable regulations

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