Claims Application Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead, train, inspire, develop, and evaluate the performance of the PB maintenance analyst team.

• Manage member relationships while facilitating efficient workflows and resolving complex issues.

• Plan educational deliverables for annual forums and relevant conferences.

• Onboard new team members in a structured approach.

• Monitor team, project, and individual performance targets.

• Identify and promote process improvements.

• Assist with staff coaching, Go-Live coverage, and support for legacy expansion.

• Design new features and workflows while making key design decisions.

• Address advanced and intricate integration JIRA and Help-Desk tickets.

• Collaborate with Help Desk, Product, Epic Clinical, and other OCHIN teams.

• Ensure that project timelines and deliverables are realistic and feasible.

• Act as the primary escalation point for members.

• Uphold OCHIN policies, Go-Live support requirements, Tempo time tracking, Critical Incident reporting, and JIRA SLAs/SLEs.

• Develop resource planning strategies and oversee staffing.

• Analyze ticket metrics to ensure SLA compliance.

• Conduct routine builds and configurations in Epic and related products.

• Facilitate working sessions with members to tackle advanced integration work orders and support challenges.

• Provide workflow solutions alongside hands-on system training.

• Document build specifications, team processes, and complex clinic workflows.

• Assure quality for complex builds, Service Update modifications, and other work orders.

• Offer support during Go-Live events and mock clinics.

• Lead training sessions and workgroups for members.

• Mentor, coach, and train less experienced analysts.

• Develop and disseminate best practices for workflows.

• Assist Project Managers in determining system capabilities.

• Build, design, test, and document new system functionalities.

• Travel as necessary to support off-site software installations.

⛳️ Requirements

• A minimum of 3 years of experience in a comparable or relevant Epic Application Analyst role.

• At least 1 year of supervisory experience is highly desirable.

• Prior work experience in Healthcare IT is required.

• Intermediate proficiency in Microsoft Excel is necessary.

• Epic PB or PB Claims Resolute certification is required.

• Experience with both PB Claims or PB is preferred.

• Ideally, at least 5 years of experience as an Epic Resolute PB/PB Claims Applications Analyst.

• Ideally, a minimum of 3 years of experience in Epic Resolute module build.

• Proficiency in reading, speaking, writing, and understanding English.

• Ability to work independently and effectively from a home office environment.

• High-speed internet service is required.

• Must work in a distraction-free workspace.

• Must be on camera for all virtual meetings.

• Willingness and ability to travel nationwide for Go-Live installations based on business needs.

🏝️ Benefits

• Competitive compensation package.

• Healthy work-life balance.

• Opportunities for professional growth.

• Comprehensive benefits package.

• Remote work from home option.

• Virtual home-office setting.

• Travel support for Go-Live installations or training as needed.