Business Analyst

Dayton, OH 14531 | Contract to Hire

Post Date: 05/07/2018 Job ID: 1094 Industry: IT Pay Rate: Negotiable

 

 Required Qualifications –    Business Analyst

 

The Business Analyst acts as the primary liaison between IT and the operational departments within the organization. This position provides subject matter expertise to the clients in which it serves through analysis and the development of business and functional requirements for initiatives of all sizes.  The Business Analyst serves in a relationship management role to increase customer service, and participates on project teams to assist in timely delivery of IT project initiatives.   This role also serves as a mentor to team members.

 

 

 

Responsibilities

  • Serves as technical and subject matter expert for initiatives involving member enrollment, billing, and or claims processing.
  • Leads and guides workgroups through the evaluation of current state processes.  Performs analysis to define opportunities to create  improved future state workflows/solutions (end-to-end process flow development)
  • Assists management and end users in evaluating vendor software applications.
  • Leads and facilitates requirements and design sessions.  Documents business and functional specifications used for software design and development including software traceability matrices and use case diagrams. 
  • Conducts requirements reviews to obtain sign-off from project/operational stakeholders.
  • Sets projects timelines with identified deliverables.  Creates task lists/project plans for smaller initiatives.   On larger project initiatives completes assignments as defined by the Project Team.  
  • Reports project status updates to stakeholders
  • Identifies issues and facilitates problem resolution for manual, batch and online environments.  Ability to interrogate error codes
  • Uses metrics and data to lead process improvement initiatives
  • Analyzes and queries data; has knowledge of the Facets data models
  • Data mapping, including the creation of file specifications; source to target mapping 
  • Testing, including the creation of test scenarios,  test data and understanding of outcomes
  • Mentors customers and peers 
  • Communicates  internally and externally with all levels of employees including senior management
  • Interacts with all areas of Information Technology as well as software vendors
  • End-to-end ownership of assigned initiatives – requirements through implementation
  • Keeps current with industry trends and state/federal compliance initiatives
  • Participates in user groups

Qualifications

  • BA/BS – Bachelor’s Degree or equivalent required.  Degree in Computer Science or Computer Programming a plus
  • Minimum 3-5 years previous experience as a Business/Systems Analyst  
  • Health Care Industry experience
  • Previous experience and business knowledge with billing, and or enrollment, and or health care claims including adjudication systems, and the end-to-end life cycle of a claim and standard outputs (EOBs, RAs), EDI 837 and 834 transactions. 
  • Knowledge of health care benefits and product offerings Health  exchange plans, Medicaid, Medicare, Dual, Child Health Plus and Managed Long Term Care programs would be a plus
  • Previous experience with TriZetto Facets applications preferred.
  • Proficiency with SQL (querying, analyzing and mapping data) 
  • Demonstrated ability to:
    • Lead and elicit business needs and requirements from a diverse set of stakeholders
    • Document and communicate requirements to the stakeholders, developers and testers.
    • Construct or modify use case diagrams and process models.
    • Create and execute test scenarios
  • Experienced in full software development life cycle
  • Understanding of the concept of online and batch environments
  • Excellent PC skills utilizing Microsoft Office software  (Excel, Word, Visio, PowerPoint, and Access)
  • Proven problem solving and analytical skills
  • Detail oriented with the ability to manage multiple tasks simultaneously
  • Excellent organization and follow through skills
  • Excellent interpersonal, written and verbal communication skills
  • Ability to build and maintain good rapport with internal and external customers and handle situations with confidence, tact and resourcefulness
  • Flexible, adaptable with the ability to work under pressure to meet deadlines in a fast paced environment
  • Strong team player

 

 


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