What are the responsibilities and job description for the IT TECHNICAL ANALYST position at American Postal Workers Union?
POSITION PURPOSE :
The incumbent has the principal responsibility for facilitating the creation, implementation, maintenance and optimization of the various Information Technology (IT) and non-IT related processes within the plan
NATURE AND SCOPE :
The incumbent will collaborate with development leads, account managers, and business users with the purpose of designing, building, documenting and assisting with testing solutions for data interchange and business processes. The person must be able to multi-task and work in a fast-paced environment. This role will collaborate and coordinate activities with diverse groups, including stakeholders, sponsors, team leads, vendors, project managers, and technical staff; producing high quality documentation artifacts; and a sound working understanding of IT concepts and the IT design & delivery life cycle.
This individual will work with transactional data including inbound and outbound HIPAA transactions, i.e. 834, 278, 837, 835 as well as proprietary files, including data extracts.
This position will be responsible for system analysis, as it pertains to configuration to the claims system, including but not limited to core business operation applications.
The individual will interface with all levels of the Health Plan and will recommend operational solutions based on system capabilities and business needs. The incumbent will also be responsible for creating and maintaining documentation and validation to support proposed solutions.
PRIMARY ACCOUNTABILITIES :
Review and document current processes and workflows and collaborate with users in identifying, defining, and documenting process improvement options and alternatives, as directed by business needs.
Analyze and recommend test scenarios to assist testing team with scenario building and validation.
Conduct system impact analysis, in relation to operational requirements and report finding, and where appropriate, propose changes.
Work proactively with designated stakeholders and teams to collaborate with vendors and internal business users to analyze information needs and documentation / artifacts needed.
Translate requirements, of any kind, into functional and / or technical specifications as needed. Participate in requirement reviews with appropriate project team. Create presentations for review and approval by stakeholders for requirements, design specifications, functional requirements and prototypes.
Identify required information fields and, in conjunction with the Data Objects team and or other Application Development team members, assist with the design and maintenance of a data dictionary.
Create and maintain documented workflows and data diagrams for technical projects, and present the documentation to stakeholders and business owners.
Coordinate with Applications Development Manager and Team Leads in conjunction with the Project Manager, assure priority of new work.
Work with external vendors to escalate support issues to completion, scope business functional enhancement projects and validate recommended solutions to the organization.
Complete other duties as assigned.
QUALIFICATIONS :
B.S. degree in Business, Economics, Public Health or Computer Science preferred, or equivalent experience.
Minimum 3 years of experience in business analysis, requirements definition and deployment of business requirements to information systems.
Thorough understanding of all aspects of claims processing systems - including (but not limited to) claim adjudication, membership and enrollment, eligibility, configuration and benefits, authorizations and payment.
Must have Health Care background, preferably with knowledge of Health Plan operations.
Excellent technical, analytical, and communication skills.
Knowledge in SQL, Microsoft Visio and other Office tools, relational databases, application life cycle and ticketing systems.
Must be able to construct and execute SQL queries for data, technical and quality analysis.
Must possess good verbal and written communication skills; and, have the ability to render and write business requirements as technical documentation and business decision documentation.
Proficiency in requirements gathering - effectively translating business needs as expressed by users into workable specs, estimating time\duration to complete and implement the solution.
Experience with developing traceability matrix, to be used in software development and testing, is a plus.
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