Fallon Community Health Plan
Overview
About Fallon Community Health Plan:
Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, FCHP supports the diverse and changing needs of all those it serves. FCHP has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fchp.org.
About Summit ElderCare:
Summit ElderCare is a medical, insurance, and social support program that helps older adults remain living in the community as an alternative to moving to a nursing home. They get personalized care and attention and comprehensive benefits.
Position Overview:
To support the overall management and administration of the electronic medical record (Nextgen ) and other selected shared applications utilized for the management of selected dually capitated models of care and coverage operated by the TAIP, LLC. The application specialist will work collaboratively with and under the direction of the Summit ElderCare Application Administrator to ensure ongoing alignment with the base Summit ElderCare architecture and vendor contract, ongoing system and database integrity and will act as the primary resource for TAIP development and support needs.
Responsibilities
- Monitor system performance to ensure integrity of information capture and reporting for selected TAIP LLC products.
- Manage and maintain role based access in accordance with FCHP, TAIP LLC and when applicable Summit ElderCare policies and procedures.
- Manage the formal change management process in collaboration with management to maintain system integrity, support business needs and compliance with applicable contractual and regulatory requirements.
- Monitor and manage assignment of licenses in accordance with vendor contracts, budget requirements and changing business needs.
- Proactively ensure that the TAIP, LLC EMR/PM (Nextgen) platform is maintained with the most current prescription, ICD-10 and NPA tools as well as other dictionaries and resources as directed by management.
- Support the management software upgrades including testing in collaboration with vendor, FCHP IT staff and TAIP LLC staff while ensuring business continuity.
- Maintain updated documentation of application architecture, role based access, user profiles and password management specific to TAIP, LLC.
- Support management of ongoing compliance with policies and procedures related to application architecture, maintenance, access, security and contractual business requirements.
- Periodically conduct audits of system back up procedures, user profiles, HIPPA compliant file transfers, accounting of disclosures and data integrity.
- Program and implement approved software changes, update relevant documentation and communicate approved system changes to users and support staff.
- Develop and produce routine and approved TAIP, LLC ad hoc reports
- Stay abreast of industry changes as well as changing business needs and recommend changes to optimize quality and efficiency.
- Support the development and rollout of application specific training for new and existing TAIP, LLC staff.
- Work collaboratively with management and FCHP IT staff to troubleshoot and resolve hardware and operating system issues.
- Monitor system performance, including help desk and other service requests from TAIP, LLC staff and proactively address identified issues.
- Assist with the preparation and the management of budgets related to systems support, as assigned.
- Support TAIP, LLC staff with National PACE Association and other regulatory submissions, as needed.
- Assist with facilitating approved integrations with key business partners and provider groups in collaboration with FCHP IT and others in compliance with vendor contracts, applicable policies and procedures and budgetary guidelines.
- Assist with other applications and support projects, as needed.
Qualifications
Education: A 4 year college degree in business, computer science or related field or significant relevant experience in application administration
Experience:
- A minimum of 3 years experience in a business environment preferably healthcare.
- A minimum of 2 years experience as an application specialist, preferably with an EMR application.
Job ID 3593
# Positions 1
Location US-MA-Worcester
Posted Date 2/12/2014
Category Information Technology
To apply for this job please visit fallon-technology.jobs.