Business Analyst - Enrollment / Job Req 772047052

PRINCIPAL RESPONSIBILITIES:

Under the general supervision of the Director, Applications Management, Quality & Process Improvement , the Business Analyst performs complex business process and data analysis with internal customers to gather business requirements for use in identifying innovative technology solutions and supporting system configuration to meet business needs. This position will be the liaison between business and technical teams to provide technical solutions, processes, system configuration and resolutions.

Principal responsibilities include:

Organization expects job performance to be consistent with its vision and mission. Day-to-day work is focused on these key performance areas. Percentages of time are estimates based upon observation in the position.

1. Lead work groups in the business process analyses to determine the business needs of customers and implement the changes, additions, and improvements that are needed for Business Applications (i.e. claims processing, enrollment, capitation)

(25% of time)

1. Identify and analyze various user problems and make appropriate recommendations. Participate in upgrade/replacement/ new implementation projects by tracking activity, resolving problems, publishing progress reports, recommending actions and assisting with the management of vendor relationships. Collaborate with the Manager, Vendor Management as appropriate.

(25% of time)

1. Determine operational objectives by studying business functions, gathering information, evaluating input and output requirements and formats. Improve systems by studying current practices and design modifications.

(15% of time)

1. Configure, analyze, and audit core system current-use functionality and resulting data for best practices. This may include member enrollment, benefits, claims, assessments, authorization rules, correspondence, membership, fee schedules, provider and hospital contracts, as well as other system module configuration.

(10% of time)

1. Recommend technology solutions and manage vendor functionality enhancements to meet the business needs of the AAH Departments. Document those needs and the resulting changes implemented.

(10% of time)

1. Assist with the business case for new and upgrading systems. Conduct cost/benefit analysis. Define project requirements by identifying requirements, project milestones, phases, and elements. Help form project teams and establish project budget. Evaluate and plan systems training for upgrade/replacement/ new implementation projects.

(10% of time)

1. Design, plan and conduct end-user technical training for a variety of software systems on desktop and laptop computers.

(5% of time)

1. Other duties as assigned.'

PHYSICAL REQUIREMENTS

• Constant and close visual work at desk or on a computer.
• Constant sitting and working at desk.
• Constant data entry using keyboard and/or mouse.
• Frequent use of telephone headset.
• Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
• Frequent lifting of folders and other objects weighing between 0 and 30 lbs.
• Frequent walking and standing.

Number of Employees Supervised: 0

MINIMUM QUALIFICATIONS:

EDUCATION OR TRAINING EQUIVALENT TO:

• Bachelor's Degree or equivalent professional experience.

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:

• Three years of experience in technical business analysis.
• Two years of experience in operational healthcare or payer setting required.
• Two years of experience in research, analysis and/or business processes required.
• Three years working knowledge of process functionality and understanding of business platform(s).

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

• Ability to create diagrams such as Use Cases, DFD (Data Flow Diagrams), and others.
• Knowledge of relational database systems, such as SQL or Microsoft.
• Knowledge of the theory, principles, practices and methods of system analysis.
• Must be able to handle competing priorities.
• Ability for critical thinking and communication is required.
• Strong interpersonal skills using clear, concise and professional verbal and written communication skills mandatory, mature judgment, and diplomacy required to interact effectively with a broad spectrum of people, both individually and in groups.
• Ability to prioritize daily work tasks.
• Ability to exercise initiative and judgment and make decisions within the scope of assigned authority.
• Ability to identify sources of problems and arrive at appropriate solutions.
• Understanding of complex systems and how they integrate and impact the entire organization.
• Experience in defining problems, collecting data, establishing facts, and drawing valid conclusions.
  

SALARY RANGE: 110,094.40 - 165,131.20 ANNUALLY

The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws. M/F/Vets/Disabled.