Business Analyst

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Job description

Job purpose: This position will assist in the growth and maintenance of our software solutions by researching industry changes and data sets, data trends, identifying areas of opportunity, and aiding in the implementation of these enhancements. To succeed in this role, one should have a naturally analytical way of thinking, be able to quantitively and qualitatively analyze information, be process oriented, and enjoy research and team collaborations. The ideal candidate will demonstrate strong technical skills, will be familiar with the healthcare and health insurance industry, and will have experience interpreting volumes of technical information to define business requirements for use during gap analysis and technical solution design.

Essential responsibilities and accountabilities:

• Work closely with Operations team members, inter-departmental teams, clients, and managerial staff.
• Evaluate business processes, anticipate requirements, uncover areas for improvement, and develop and implement optimization strategies.
• Stay up to date on the latest processes and medical billing guidelines to identify claim editing, fee schedule, and systematic changes for implementation.
• Perform requirements analysis.
• Document and communicate research results.
• Conduct meetings and presentations to share ideas and findings.
• Effectively communicate insights and plans to cross-functional team members and management.
• Gather critical information from meetings with various stakeholders and create useful reports.
• Ensure solutions meet business needs and requirements.
• Perform system integration and user acceptance testing.
• Manage projects, develop project plans, and monitor performance.
• Manage competing resources and priorities.
• Prioritize initiatives based on business needs and requirements.
• Monitor deliverables and ensure timely completion of projects.
• Update, implement, and maintain procedures.
• Serve as a liaison between various stakeholders.
• Other duties as required.

Minimum Qualifications:

• A Bachelor's degree or higher in business, healthcare administration, information systems, computer science, finance, accounting, mathematics, or a related field of study.
• A minimum of two years of experience in business analysis or a related field. Additional experience, industry knowledge, and certifications may substitute for educational requirements.
• Advanced technical skills.
• Strong planning, organizational, and time management skills.
• Superior analytical and conceptual thinking skills.
• Excellent verbal and written communication skills.
• Excellent documentation skills.
• Experience creating detailed reports and giving presentations.
• The ability to influence stakeholders and work closely with them to determine acceptable solutions.
• Competency in Microsoft applications including Word, Excel, and Outlook.

Preferred Qualifications:

• Experience with requirements gathering and specification documentation.
• Experience performing gap analysis, issue analysis, root cause assessment, and resolution planning.
• Experience preparing use case testing scenarios.
• Experience performing and documenting system integration testing and user acceptance testing.
• Experience with crosswalk development and maintenance.

Elite Qualifications:

• Understanding of professional and institutional claims processing and adjudication.
• Knowledge of NUCC 1500 professional claim form and corresponding ASC X12N 837P electronic standard.
• Knowledge of NUBC UB-04/CMS-1450 institutional claim form and corresponding ASC X12N 837I electronic standard.
• Familiar with CMS claims processing manual and publications.

THIS JOB MAY BE CONSIDERED AS A REMOTE POSITION!

Physical requirements: Standing, sitting, kneeling, stooping, lifting, bending, climbing, twisting upper body, walking, pushing, pulling, occasional lifting and carrying of large boxes up to 25 lbs., listening, talking, use of telephone, exposure to computer monitor screens and repetitive data entry.

Job Type: Full-time

Pay: $63,129.00 - $69,012.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus pay

Education:

• Bachelor's (Required)

Experience:

• Business Analysis: 2 years (Required)

Work Location: One location