Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.

We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.

Clearlink Partners is a Health Plan Alliance Preferred Business Sponsor and ACAP Preferred Vendor.

• Supports the managed care health plan operations by leveraging their expertise with ZeOmega's Jiva platform.
• Analyzes business processes, identifying areas for improvement, and implementing solutions to enhance efficiency and effectiveness.
• Collaborates with cross-functional teams, including IT, clinical staff, and management, to ensure the Jiva system meets organizational needs and regulatory requirements.

System Analysis and Support:

• Serve as the primary contact for all Jiva-related queries and issues.
• Conduct detailed analysis of the Jiva system to understand current functionality and identify opportunities for optimization.
• Configure and customize the Jiva platform to meet the specific needs of the managed care health plan.

Business Process Improvement:

• Analyze current business processes and workflows to identify inefficiencies.
• Develop and implement strategies to improve operational processes using Jiva.
• Create and maintain documentation for all business processes and system configurations.

Project Management:

• Lead and manage projects related to Jiva system enhancements and updates.
• Coordinate with internal teams and external vendors to ensure timely project delivery.
• Monitor project progress and provide regular updates to stakeholders.

Training and Support:

• Develop and deliver training programs for staff on the use of the Jiva platform.
• Provide ongoing support and troubleshooting assistance to system users.
• Ensure all users are adequately trained and proficient in using Jiva.

Data Management and Reporting:

• Ensure data integrity and accuracy within the Jiva system.
• Develop and generate reports to provide insights into system usage and performance.
• Analyze data to identify trends, issues, and areas for improvement.

Regulatory Compliance:

• Ensure that the Jiva system complies with all relevant regulations and standards.
• Keep abreast of changes in healthcare regulations and assess their impact on the system.
• Implement necessary updates and changes to maintain compliance.

General

• Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
• Identifying areas for process improvement, and developing/ implementing solution
• Leading review and writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.
• Identifying opportunities for workflow optimization, efficiency and automation
• Staying up-to-date on the latest process and IT advancements to automate and modernize systems
• Conducting meetings and presentations to share ideas and findings
• Performing requirements analysis
• Documenting and communicating the results
• Recommend alert and reporting requirements
• Leverage technical skills, coupled with business intelligence and a deep understanding of the customer's needs to transform information into application and operational requirements
• Effectively communicating insights and plans to cross-functional team members and management
• Gathering critical information from meetings with various stakeholders and producing useful reports
• Ensuring options are evaluated and presented to meet business needs and requirements
• Performing user acceptance testing
• Basic knowledge in generating process documentation
• Strong written and verbal communication skills including technical writing skills
• Updating, implementing, and maintaining procedures
• Prioritizing initiatives based on business needs and requirements
• Serving as a liaison between stakeholders, business units, technology teams and support teams
• Managing competing resources and priorities
• Monitoring deliverables and ensuring timely completion of projects

Position Qualifications:

• Strong analytical and problem-solving skills
• Excellent project management and organizational abilities
• Proficient in data analysis and reporting tools
• Strong communication and interpersonal skills
• Ability to work collaboratively with cross-functional team
• Experience with healthcare regulatory requirements and standards
• Certification in Business Analysis (CBAP) or Project Management (PMP)

Experience

• Bachelor’s degree in Business Administration, Healthcare Management, Information Systems, or a related field
• Minimum of 3-5 years of experience as a Business System Analyst in a managed care or health plan environment
• Extensive experience with ZeOmega's Jiva platform
• Proven track record of managing and implementing system changes and improvements

Physical Requirements

• Must be able to sit in a chair for extended periods of time
• Must be able to speak so that you are able to accurately express ideas by means of the spoken word
• Must be able to hear, understand, and/or distinguish speech and/or other sounds in person, via telephone/cellular phone, and/or electronic devices
• Must have ample dexterity which allows entering of text and/or data into a computer or other electronic device by means of a keyboard and/or mouse
• Must be able to clearly use sight so that you are able to detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, and/or assess data or other information types
• Must be able to fluently communicate both verbally and in writing using the English language

Time Zone: Eastern or Central

Other Information

• Expected Hours of Work: Friday 8 am – 5 pm; with ability to adjust to Client schedules as needed
• Travel: May be required, as needed by Client
• Direct Reports: None