Community Behavioral Health
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Behavioral Health
Manages reporting, business intelligence, and data integration functions across clinical, claims, and operational systems. Leads reporting analysts and integration staff, oversees ETL and data quality, ensures regulatory and operational reporting accuracy, establishes data standards and governance practices, and partners with technical and business stakeholders. Provides leadership for analytics products, system upgrades, interoperability initiatives, and process improvements.
Behavioral Health
Coordinates, develops, facilitates, and evaluates provider training programs and materials. Conducts needs assessments, creates adult-learning content, delivers virtual and workshop-based training, evaluates participant outcomes, and collaborates with subject matter experts. The role requires strong public speaking, writing, project management, interpersonal, and Microsoft Office skills, along with adaptability to diverse audiences and non-traditional schedules.
Behavioral Health
The IT Business Analyst bridges business and technology teams by documenting workflows, defining data requirements, analyzing reporting needs, developing self-service reports, improving data quality, and supporting data integration solutions. The role collaborates with stakeholders, developers, architects, and database administrators to translate business needs into technical specifications and reporting tools. It also requires communication, training, project organization, on-call support, travel, and Philadelphia residency.
Behavioral Health
Leads CBH’s enterprise applications portfolio, including strategy, governance, SDLC maturity, delivery, lifecycle management, vendor performance, security, compliance, and operational reliability. Builds and develops the applications organization, oversees mission-critical clinical and claims systems, establishes disciplined development and release practices, manages technology roadmaps and risks, and partners with executive, clinical, financial, compliance, and business stakeholders.
Behavioral Health
Ensures accurate and compliant encounter submissions to the State by monitoring errors, analyzing root causes, coordinating resolutions, and validating corrections. Maintains claims adjudication business rules, translates requirements into system configurations, conducts testing, documents changes, and supports audits. Analyzes claims and encounter data, identifies process improvements, and collaborates with Claims, IT, Business Owners, Compliance, and other stakeholders.
Behavioral Health
Manages and advances an enterprise data governance program, including governance standards, stewardship, metadata, definitions, lineage, semantic models, data quality, and reporting consistency. Leads governance committees, resolves cross-functional data issues, supports data literacy, and embeds governance into analytics, reporting, systems, and business processes. Partners with technical and business stakeholders, supervises staff, and drives accountability across the organization.
Behavioral Health
Leads the design, development, integration, modernization, and support of enterprise healthcare applications and platforms. Develops SQL Server databases, healthcare EDI/X12 integrations, Azure APIs, and Python/Django applications. Provides technical leadership and mentorship, reviews architecture and code, resolves production issues, supports interoperability and automation, and coordinates deployments and operational support. Collaborates with stakeholders, vendors, and IT leadership while ensuring HIPAA, security, and regulatory compliance.
Behavioral Health
The Senior Business Analyst bridges business stakeholders and IT by eliciting requirements, translating needs into specifications and user stories, analyzing data and system impacts, and leading software testing and implementation support. The role develops reports, queries, data mappings, training materials, and documentation; validates integrations and data quality; supports strategic initiatives; and facilitates communication among product, development, QA, and business teams. SQL, Transact-SQL, SSRS, Excel VBA, Access, and database analysis experience are required.
Behavioral Health
Supports an agency-wide continuous quality improvement program by facilitating process improvement meetings, developing metrics, coaching staff, leading improvement teams, monitoring action plans, reporting progress to leadership, preparing quality management documents, and supporting continuous readiness activities. Requires collaboration across departments, data interpretation, regulatory knowledge, project management, and travel to Philadelphia and U.S. sites.
Behavioral Health
Supports quality management operations by tracking and trending quality issues, investigating clinical concerns, preparing reports, facilitating provider meetings, conducting provider visits, monitoring improvement plans, and coding significant incident reports. The role requires behavioral health or healthcare expertise, knowledge of Pennsylvania regulations and medical necessity criteria, strong communication and facilitation skills, and Philadelphia residency.
Behavioral Health
Manages datacenter, cloud, and remote-office infrastructure, including servers, storage, backups, virtualization, operating systems, monitoring, security remediation, and disaster recovery. Provides Tier 3 support, troubleshoots complex system issues, implements infrastructure upgrades, maintains VMware and Windows environments, develops documentation, and supports technology assessments and vendor contracts. Requires regular on-call and weekend rotations.
Behavioral Health
Provides clinical leadership and consultation for behavioral health case management, medical necessity reviews, disputed levels of care, quality reviews, and member care coordination. Collaborates with providers and internal stakeholders on treatment response, placement, safety, grievances, and regulatory requirements. Delivers training, peer review, and subject matter expertise across clinical, network development, performance evaluation, and program integrity initiatives.
