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Experience:
No experience
Employment Type:
Intern/Co-op
Posted:
6/12/2015
Job Category:
Information Services
Industry:
Health Care & Medicine
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Epic Data Analyst
Kaiser Permanente | Pleasanton, California
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Job Description


Essential Functions
 Responsible for researching Epic and troubleshooting software and workflow issues to understand software build steps needed for production environment of business application.
 Configures Epic application based on analysis and collaborations to create builds.
 Researches Epic application issues, performs root cause analysis, present findings and recommendations.
 Identifies areas for work flow and process improvements in Epic. Vets ideas with team and works through applications improvements to implement.
 Analysis: Responsible for Epic analysis of complex business requirements, systems upgrades, workflows and application capabilities. Utilizes analysis to collaborate with users, analysts and consultants to determine solutions and required configurations to meet business requirements.
 Testing: Tests Epic application configurations and builds or does unit testing in non-production environment and reports on outcomes noting issues. Corrects issues found in testing.
 Change Management:
 to ensure process design, interface development, testing and implementation and user training are performed to quality standards. Prepares Epic builds for implementation into production. Trains on Epic application functions, changes, and improvements. Plans and communicates Epic  project implementations. Monitors Epic implementations into production, makes adjustments, as necessary. Monitors Epic cues of tasks to trend tasks for issues discrepancies, analyzes and implements solutions.

Business & Analytics Scope of work
7 Regions, 21 Environments, 3 Training Environments
Colorado
Hawaii
Mid-Atlantic States (VA, MD, DC)
Northern California
Northwest (Oregon/Washington)
Southern California
*Georgia
Business Support
Troubleshoot production issues
Support for configuration build/enhancements
Research and design of build from an application and design management standpoint
Version testing and upgrades
Designing configuration efficiency
Improved design of mapping configuration
Report creation Standard/Ad-hoc
Support triplets build in Tapestry ensuring that   accurate linkages exist between Vendor ,Provider ,Place of service
Perform extracts/ad-hoc requests from other teams
Extract large amounts of data from chronicles and text to support triplet research/build
Analyze data and perform data manipulations and or calculations
Annual maintenance(loading of codes across contracts) of code sets
Coordination with regional HealthConnect teams
Data Management(MDM) across multiple environments
Multiple File Types
Multiple Data Sources(internal/external)
JXPORT (Epic utility)
Fee Schedule Data Collection(provided by appropriate KP resources not PSA-BASS)
Normalization
Loading 
Long term maintenance
CMS
State
Medicaid
Reasonable and Customary
Prepare import specs  to load initial provider build data and to migrate build from env to env
Review import error logs
Import build from one environment to another
Set up and prepare import spec for Fee Schedule
Defect correction/ correct errors on import logs
Data validation between environments
Research and resolve pended queue items in support of PV and UAT testing
Train/coach/mentor team members
Create/Modify reports in Reporting Workbench (Clarity)

Essential Functions
 Responsible for researching Epic and troubleshooting software and workflow issues to understand software build steps needed for production environment of business application.
 Configures Epic application based on analysis and collaborations to create builds.
 Researches Epic application issues, performs root cause analysis, present findings and recommendations.
 Identifies areas for work flow and process improvements in Epic. Vets ideas with team and works through applications improvements to implement.
 Analysis: Responsible for Epic analysis of complex business requirements, systems upgrades, workflows and application capabilities. Utilizes analysis to collaborate with users, analysts and consultants to determine solutions and required configurations to meet business requirements.
 Testing: Tests Epic application configurations and builds or does unit testing in non-production environment and reports on outcomes noting issues. Corrects issues found in testing.
 Change Management:
 to ensure process design, interface development, testing and implementation and user training are performed to quality standards. Prepares Epic builds for implementation into production. Trains on Epic application functions, changes, and improvements. Plans and communicates Epic  project implementations. Monitors Epic implementations into production, makes adjustments, as necessary. Monitors Epic cues of tasks to trend tasks for issues discrepancies, analyzes and implements solutions.

Business & Analytics Scope of work
7 Regions, 21 Environments, 3 Training Environments
Colorado
Hawaii
Mid-Atlantic States (VA, MD, DC)
Northern California
Northwest (Oregon/Washington)
Southern California
*Georgia
Business Support
Troubleshoot production issues
Support for configuration build/enhancements
Research and design of build from an application and design management standpoint
Version testing and upgrades
Designing configuration efficiency
Improved design of mapping configuration
Report creation Standard/Ad-hoc
Support triplets build in Tapestry ensuring that   accurate linkages exist between Vendor ,Provider ,Place of service
Perform extracts/ad-hoc requests from other teams
Extract large amounts of data from chronicles and text to support triplet research/build
Analyze data and perform data manipulations and or calculations
Annual maintenance(loading of codes across contracts) of code sets
Coordination with regional HealthConnect teams
Data Management(MDM) across multiple environments
Multiple File Types
Multiple Data Sources(internal/external)
JXPORT (Epic utility)
Fee Schedule Data Collection(provided by appropriate KP resources not PSA-BASS)
Normalization
Loading 
Long term maintenance
CMS
State
Medicaid
Reasonable and Customary
Prepare import specs  to load initial provider build data and to migrate build from env to env
Review import error logs
Import build from one environment to another
Set up and prepare import spec for Fee Schedule
Defect correction/ correct errors on import logs
Data validation between environments
Research and resolve pended queue items in support of PV and UAT testing
Train/coach/mentor team members
Create/Modify reports in Reporting Workbench (Clarity)

Qualifications

Mimimum of eight (8) years of related professional experience
Bachelor's degree, OR four(4) years of related experience in a directly related field
High School Diploma or General Education Development (GED)required

Additional Requirements:
Significant experience in documentation, research and reporting.
Proficiency in Tapestry Core AND AP OR Benefits Modules within 6 months of hire into the job. Additional time to acquire
certification may be permitted at management's discretion. Proficiency requires a minimum of 75% exam score with a
100% score on the associated projects. Both, Certification and Proficiency levels, must be achieved within three times
of completing Epic testing. If certification/KP proficiency is a requirement of the position, the individual must pass the
application test by the third try. If not, consequences include termination or transition to a different role.
Training and testing maybe delivered at Epic or KP Facility.
Demonstrated intermediate competency in medical coding, medical terminology, claims processing, logical thinking and
understanding of relational database is required.
Knowledge of state and federal regulations.
Strong critical thinking and analysis skills; verbal and written communications, and interpersonal interactions (e.g.
partnering, conflict management, consulting, etc.).
Advanced proficiency in MS Office Suite of products.
Thorough understanding of relational databases.
Excellent interpersonal, communication, and listening skills are required.
Complete understanding and application of principles, concepts, practices, and standards.
Advanced knowledge in healthcare benefits, benefit administration and health care delivery from either/both a payor or
provider perspective, EDI and paper claim lifecycle, along with health insurance industry practices and standards.
 
Preferred Qualifications:
Prefer Certification in other Tapestry modules in addition to Core, AP and Benefits. Certification requires a minimum of
80% exam score with a 100% score on the associated projects
Basis proficiency in Statistical analysis.
Knowledge of Certification/Accreditation Standards (NCQA, JCAHO, CMS, etc.).
Knowledge of Kaiser Permanente Internal processes.
Knowledge of Epic Tapestry Modules
Mimimum of eight (8) years of related professional experience
Bachelor's degree, OR four(4) years of related experience in a directly related field
High School Diploma or General Education Development (GED)required

Additional Requirements:
Significant experience in documentation, research and reporting.
Proficiency in Tapestry Core AND AP OR Benefits Modules within 6 months of hire into the job. Additional time to acquire
certification may be permitted at management's discretion. Proficiency requires a minimum of 75% exam score with a
100% score on the associated projects. Both, Certification and Proficiency levels, must be achieved within three times
of completing Epic testing. If certification/KP proficiency is a requirement of the position, the individual must pass the
application test by the third try. If not, consequences include termination or transition to a different role.
Training and testing maybe delivered at Epic or KP Facility.
Demonstrated intermediate competency in medical coding, medical terminology, claims processing, logical thinking and
understanding of relational database is required.
Knowledge of state and federal regulations.
Strong critical thinking and analysis skills; verbal and written communications, and interpersonal interactions (e.g.
partnering, conflict management, consulting, etc.).
Advanced proficiency in MS Office Suite of products.
Thorough understanding of relational databases.
Excellent interpersonal, communication, and listening skills are required.
Complete understanding and application of principles, concepts, practices, and standards.
Advanced knowledge in healthcare benefits, benefit administration and health care delivery from either/both a payor or
provider perspective, EDI and paper claim lifecycle, along with health insurance industry practices and standards.
 
Preferred Qualifications:
Prefer Certification in other Tapestry modules in addition to Core, AP and Benefits. Certification requires a minimum of
80% exam score with a 100% score on the associated projects
Basis proficiency in Statistical analysis.
Knowledge of Certification/Accreditation Standards (NCQA, JCAHO, CMS, etc.).
Knowledge of Kaiser Permanente Internal processes.
Knowledge of Epic Tapestry Modules

About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.