Systems Analyst III ( Job Number: 169050 )
Kaiser Permanente - Aurora, CO

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Supports organizational & department goals. Identifies problems & areas of opportunity in organizational processes & technology. Maintains & supports a culture of compliance, ethics & integrity. Maintains knowledge of policies & procedures & performs in accordance with the Principles of Responsibilities & applicable regulatory requirements, external laws & accreditation standards. Appropriately reports observed fraud or abuse. Essential Functions: • Develop & suggest tools for outcome & process measurement. • Builds queries using SQL to extract data from mainframe & server-based data repositories. • Responsible for developing, maintaining, & troubleshooting various database apps. • Provides recommendations to leadership based on document analysis. • Proactively communicates & collaborates w/external & internal customers to analyze information needs & data reqts. • Collaborate w/developers & subject matter experts to establish the technical vision & analyze tradeoffs. • Performs Root cause analysis of issues. • Recommends modifications to established practices & procedures or system functionality as needed to support HPSA Claims Administration. • Grows expertise in end-to-end claims adjudication. • Performs other duties as assigned. • In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. • Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors. Qualifications Basic Qualifications: • Minimum of 4 years of health care analysis or relevant work experience, in areas such as system analysis or maintenance, data analysis, or finance • Experience performing sophisticated data retrieval and report development, including extrapolating and interpolating data using multiple resources • Demonstrated experience interacting professionally with diverse groups; executives, managers, and subject matter experts • Demonstrated experience providing recommendations and influencing business decisions • Experience building queries using SQL in one or more tools (e.g. Business Objects, SAS, Crystal, SQL Assistant) • Bachelor's degree in mathematics, computer science, information technology, health care management, computer engineering, business or related area • Excellent verbal and written communication skills • Knowledge of healthcare and/or health plan operations required • Must have critical thinking skills and the ability to identify, analyze and provide recommendations for process improvement and redesign
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OVERVIEW America’s leading not-for-profit health plan, Kaiser Permanente serves more than 9 million people from 37 hospitals and 611...