Healthcare Business Analyst

Essential Functions/Job Qualifications

• Conducts and facilitates sessions to develop and coordinate the requirements, specifications, design, and testing efforts for medium to large projects. 

• Analyzes business workflow and system needs for new features and enhancements; assists in data mapping.

• Updates existing BRDs and RRDs or create new BRDs and RRDs as required

• Reviews, analyzes, and evaluates business processes for improvement or enhancement as needed 

• Supports or leads the process of screening, framing and modeling ideas that capture business requirements

• Develops and executes test strategies, plans, scenarios, and tracks resolution to identified defects. 

• Recommends promotion of software to production based on satisfactory test results.

• Defines and documents business and IT system processes and workflows. Models AS-IS and TO-BE processes.

• Defines and develops test plan documentation to support system validation and/or User Acceptance Testing.

• Conducts gap analysis and uses analytical skills to identify root cause and assist with problem management.

• Create analytical tools necessary to support Operational analysis.

• Create, run and analyze standing and adhoc reports as required. 

Knowledge/Skills/Abilities

• Understands the basic concepts of project management according to PMBOK and Project Management Lifecycle

• Demonstrated understanding of Software Development Life Cycles (SDLC)

• Intermediate level of knowledge in Microsoft applications (Word, Excel, MS Project, PowerPoint, Visio)

• Intermediate level knowledge: SQL/VB, Crystal Reports, Access, and Relational Database tables and tools

• Ability to articulate an appropriate course of action based on reading standard project documentation (charter, work plan)

• Understanding of Medicare and Medicaid lines of business 

• Ability to document business analysis deliverables such as requirements, workflow diagrams, and testing documentation

• Ability to work independently as well as within a team

• Attention to detail and accuracy

• Ability to multi-task skills and prioritized workload                                                                                                                 

• Excellent verbal and written communication skills

• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Required Education: 

Associate’s Degree or equivalent experience