• Create process design, functional designs, configuration, setups, conversion, testing and documentation • Provide day-to-day administration and end user support of Oracle 11.5.10 application including trouble-shooting application, data, and interface issues; maintains system user-roles and security functionality within applications, resolve break fix issues, liaise with end users and technical resources. • Responsible for day-to-day operations and application support, maintain the service level agreement with higher customer satisfaction for help desk tickets raised by the end users.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Spectrum Healthcare Resources has a potential need for Registered Nurse Disease Managers (RNDM). These will be completely remote positions, working entirely from the Nurse’s home. The Nurse will be performing assessments, education and training to coordinate care for the dependents of our Nation’s Active Duty and eligible retirees. Qualifications - Bachelors Nursing Degree - At least one active state nurse license, preferably compact state licensure - At least 2 years’ experience working as an RNDM, preferably in a remote or hybrid environment - Behavioral Health experience - Highly organized, self-directed worker able to function in a high-volume environment without distractions - Strong verbal and written communication skills - Proficient level of experience with Microsoft Office applications and strong technical aptitude - Must have access to secure, high speed internet Requirements - Possess current certification in disease-management related area such as: - Chronic Care Professional (CCP) by Health Sciences Institute - Certified Health Coach (CHC) by National Society of Health Coaches - Certified Diabetes Educator (CDE) by National Certification Board for Diabetes Educators - Certified Asthma Educator (AE-C) by National Asthma Educator Certification Board Work Schedule - Monday - Friday - No nights and weekends - 8 hours a day - 9a-6p Hawaii Standard time until the Fall Daylight Savings it will be 8am-5pm HST Company Description Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Experienced Medicaid Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. - Act as the primary functional liaison between the client, MCOs, and our internal technical teams for all MMIS operations workflows - Lead requirements gathering sessions and "triage" meetings to address any surges in defects, change requests (CRs), and operational gaps - Manage client expectations regarding system capabilities, timelines for fixes, and regulatory constraints - Analyze and document complex requirement issues namely Claims (FFS & Encounters), Financials, Capitation, Provider Enrollment and others - Translate high-level policy changes or operational pain points into detailed User Stories, Functional Design Documents (FDDs), and Technical Specifications for developers - Validate that proposed technical solutions solve the business problem before development begins - Investigate root causes of systemic issues reported by Providers or MCOs (e.g., mass claim denials, capitation payment errors, EDI rejection loops) - Collaborate with the Operations team to distinguish between "system defects" and "user training gaps," creating workarounds or documentation as needed - Serve as the Subject Matter Expert (SME) on Medicaid workflows, ensuring compliance with federal Centers for Medicare & Medicaid Services (CMS) and local (District) regulations - Support the Compliance Manager in assessing the impact of new mandates (e.g., 1095-B reporting, T-MSIS data quality) on current system functionality - Understanding of MITA 3.0 framework and CMS-64 financial reporting Qualifications - 7+ years of Business Analysis experience in Healthcare IT, with at least 3 years dedicated to ‘Medicaid MMIS’ or state-level Eligibility & Enrollment systems - Deep understanding of Core MMIS modules: Claims Adjudication, Encounters Processing, Financial Management, Provider Management, MCO Capitation, 837/835 EDI transactions - Experience with ALM tools (JIRA, Microfocus ALM, SharePoint) for requirements traceability - Strong understanding of the SDLC in an Agile/Hybrid environment - Knowledge of Microsoft Excel advanced features such as macros and/or relational database software - Powerpoint and presentation skills Requirements - Proven ability to lead meetings with government clients and push back diplomatically when necessary - Ability to remain calm and structured during "surge" periods of high-volume issues and reporting - Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members - A caring team leader who motivates and coaches less experienced resources Benefits - Generous, flexible vacation policy - 401(k) employer match - Comprehensive health benefits - Educational assistance - Leadership and technical development academies to help build your skills and capabilities

As Business Analyst focused on the Partner Producer Experience, you will play a critical role in shaping how Hagerty’s external Partner Brokers and Agencies interact with Hagerty systems to quote, submit applications, issue policies, and service in-force business. This role owns the end-to-end producer journey, beginning with login through Hagerty’s Agent Business Center and extending into the systems used to quote, issue, and manage policies. Work will initially center on Duck Creek Producer and will evolve as Hagerty continues its platform modernization. Partner Brokers and Agencies are external users and may include independent agencies and other partner organizations where Hagerty provides specialized insurance products and capabilities. A deep understanding of real-world P&C agency workflows and partner expectations is essential to success in this role. While the immediate focus of this role will be Duck Creek Producer, this position is intentionally designed to expand over time to include greater ownership of the end-to-end producer experience. Our vision is to deliver a seamless, intuitive producer experience where Partner Brokers and Agencies can access quoting, application submission, policy issuance, and policy servicing without friction or system awareness. This role owns business requirements for the Producer experience under the direction of the Director of Agency Systems Implementation, including day-to-day requirement decisions, recommendations, and escalation of key tradeoffs as needed. The role will also play a significant role in coordinating and leading user acceptance testing (UAT) to ensure delivered solutions align with business intent and partner needs. This is a mid-level Business Analyst role with clear opportunities to grow into a senior role over time. Ready to get in the driver’s seat? Join us! What you’ll do - Own and drive business requirement definition for the Partner Producer Experience, with an initial focus on Duck Creek Producer and planned expansion into Agent Business Center capabilities. - Partner closely with the Director of Agency Systems Implementation to understand business objectives, scope, priorities, and success criteria. - Serve as the primary experience steward for Partner Brokers and Agencies from login through application submission, policy issuance, and in-force policy servicing. - Elicit, analyze, and document business requirements supporting: - Partner authentication and entry points through Agent Business Center - Quoting and pricing workflows - Application submission and straight-through processing (STP) outcomes - Policy issuance following successful STP evaluation - In-force policy management and servicing (endorsements, cancellations, reinstatements, and document delivery) - Apply prior P&C agency experience to ensure requirements reflect real-world agency workflows, operational constraints, and partner expectations. - Collaborate with cross-functional teams—including Policy, Rating, Billing, Distribution Management, Compliance, Operations, and IT—to understand dependencies and ensure a cohesive end-to-end experience. - Identify and navigate cross-system tradeoffs to protect the integrity of the Partner Producer Experience, escalating risks and decision points as appropriate. - Work closely with System Analysts and technical teams to ensure business intent is clearly understood and accurately translated into functional and technical artifacts. - Support agile delivery teams by participating in backlog refinement, sprint planning, and ongoing clarification of requirements. - Lead and coordinate user acceptance testing (UAT) activities, including: - UAT planning and coordination - Partnering with subject matter experts and business testers - Validating outcomes against documented requirements and business objectives - Maintain clear and current documentation of business requirements, business rules, assumptions, and key decisions across the Producer experience. - Assist with analysis and documentation to support investigation of production issues or escalated partner inquiries. - Ensure Producer-related capabilities align with regulatory requirements, internal standards, and partner expectations. This might describe you - Proven experience in a Business Analyst or similar role is preferred. Internal candidates with strong insurance domain expertise and demonstrated analytical and requirements ownership capabilities are encouraged to apply. - Prior property and casualty (P&C) agency experience is required, including hands-on familiarity with quoting, application submission, policy issuance, and policy servicing workflows. - Strong understanding of insurance distribution models and the needs of external broker and agency partners. - Experience supporting digital platforms or systems used by external partners or customers. - Experience contributing to large-scale system implementations or platform modernization initiatives. - Familiarity with Duck Creek platforms—especially Duck Creek Producer—is desired but not required. - Experience working in agile or iterative delivery environments; familiarity with Azure DevOps (ADO) or similar tools preferred. - Significant experience supporting or coordinating user acceptance testing (UAT). - Experience creating process flows, journey maps, or experience diagrams using tools such as Lucid, Visio, or similar. - Strong analytical and problem-solving skills. - Excellent written and verbal communication skills. - Strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. - Demonstrated ability to take ownership, exercise judgment, and grow into increasing responsibility over time. Other things to note - This position is open to U.S. remote work. However, team members who reside within 20 miles of the Traverse City headquarters will follow a hybrid schedule, working from the office three days per week. - Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable. For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations. Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable. Say hello to Hagerty Hagerty is an automotive enthusiast brand and the world’s largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Garage + Social, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile. Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member. At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference.  We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world. If you reside in the following jurisdictions: California, Colorado, District of Columbia, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, New Jersey, Ohio, Rhode Island, Vermont, Washington, or Canada please email recruiting@hagerty.com for compensation, comprehensive benefits and the perks that set us apart.  #LI-remote EEO/AA US Benefits Overview Canada Benefits Overview UK Benefits Overview If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!