Application Analyst

EMPLOYER: Delta Dental of California

TITLE: Applications Analyst

Location: 1333 Broadway, Oakland, CA 94612 ; Must appear in office 2 days per week. WFH permissible 3 days per week.

Salary: $174,637 - $179,637/year

Responsibilities:

Gather and document requirements, ensuring technology solutions align with business goals. Analyze workflows, identify inefficiencies, and propose process improvements. Act as liaisons between stakeholders, technical teams, and vendors to facilitate clear communication. Data analysis and reporting to provide insights for decision-making. Support change management, user training, and compliance documentation. Design test plans, execute functional and regression tests, and track defects to ensure system reliability. Facilitate User Acceptance Testing (UAT) by coordinating with end users and gathering feedback. Automation and performance testing to help improve system efficiency. Document test cases, results, and defect logs for future reference. Compliance and security testing to ensure adherence to regulations and industry standards. Oversee the implementation, maintenance, and security of IT infrastructure. Monitor system performance, troubleshoot issues, and apply necessary updates. Security and compliance measures are enforced to protect data and prevent cyber threats. Manage vendor relationships, procurement, and contract negotiations. Disaster recovery planning ensures business continuity and data protection. Assess and optimize IT systems to meet business and technical requirements. Evaluate workflows, identify system gaps, and propose improvements. Work with developers and IT teams to design system integrations and ensure seamless data flow. Troubleshooting and root cause analysis help maintain system stability. Documentation and reporting support compliance and future enhancements. Lead the implementation of the Epic Cadence module, collaborating with stakeholders to understand scheduling and appointment management requirements. Configure and customize Epic Cadence workflows to enhance operational efficiency. Oversee the Prelude application, focusing on patient registration, check-in, and eligibility verification. Analyze and optimize Prelude workflows to ensure accurate and streamlined patient information management. Manage the integration and functionality of the Welcome Patient Kiosk module within the Epic ecosystem. Work closely with end-users and patients to enhance the self-service capabilities of the Welcome Patient Kiosk. Provide day-to-day support for Epic Cadence, Resolute, and Welcome Patient Kiosk applications, addressing end-user issues and ensuring system stability. Collaborate with technical teams to troubleshoot and resolve any issues affecting the functionality of these modules. Must appear in office 2 days per week. WFH permissible 3 days per week.

• Bachelor's degree or foreign degree equivalent in IT Management, or related field and four (4) years of experience in Business Analysis, System Analysis, Configuration, Development and Testing of Healthcare IT systems related role or job offered.
• Conducting cross-functional requirements workshops and translating business needs into user stories and acceptance criteria using Jira, Confluence, Microsoft SharePoint.
  
• Mapping and analyzing business workflows using Visio or Miro board to identify process inefficiencies and recommend improvements that drive operational outcomes
  
• Designing and executing manual and automated test cases using tools like HPALM and Selenium WebDriver, ensuring functional, regression, and performance test coverage.
  
• Tracking defects using Jira or similar tools, collaborating with developers for resolution, and validating fixes through retesting to maintain release quality.
  
• Extracting and analyzing business data using SQL to support requirements gathering, identifying workflow inefficiencies, and validating the impact of proposed system changes. Developing and running SQL queries across relational databases (e.g., SQL Server, Oracle) to identify trends, generate custom reports, and provide data-driven insights to stakeholders.
  
• Translating findings from SQL-based data analysis into process improvement recommendations, contributing to measurable outcomes such as reduced cycle times or improved data quality.
  
• Demonstrating knowledge of provider claims lifecycle, including claim submission, adjudication, denial management, and reimbursement processes, enabling effective collaboration with billing, clinical, and IT teams to optimize revenue cycle workflows and ensure compliance with payer requirements
  
• Understand basic clinic operations, including patient scheduling, registration, and check-in processes, to support workflow analysis and help identify opportunities for improving patient flow and administrative efficiency.
  
• Understanding healthcare front-desk tasks, such as verifying patient information and insurance eligibility, which informs collaboration with clinical and IT teams during system implementations.
  
• Understanding healthcare terminology and basic care delivery models, supporting collaboration with providers, staff, and technical teams in designing practical and compliant technology solutions.
  
• Understanding member benefits and eligibility and claims processing in claim adjudication system such as MetaVance and its integration with clearing house systems such as Experian, DentalXChange.
  
• Working with XML files for integration messaging, including creating, parsing, and validating XML data exchanged between healthcare systems to support interoperability and data consistency.