Healthcare Provider Network Senior Business Analyst (Hybrid - Troy, MI) - Health Alliance Plan

The ideal candidate for this role will have extensive business analysis experience in a healthcare or health insurance setting, specifically working with provider data management/ the provider lifecycle. This person will be required to meet with stakeholders to design processes, effectively facilitate calls, provide great follow up and status updates to project team members/leadership. Experience with healthcare operations/credentialing software symplr is highly desirable.

General Summary

Under the general direction of the Manager, or the Director, formulates and defines new business strategies and models to enhance business efficiencies. Assist with the defining scope and objectives based on both user needs and a good understanding of applicable business systems and industry requirements. Devises or modifies procedures to solve complex problems considering software limitations, operating time, and form of desired results. Develops requirements analysis, use case reviews, fit/gap analyses, and business process re-engineering. Understands the customer journey. Competent to work at the highest level of most phases of systems analysis while considering the business implications of the application of technology to the current and future business environment. You will communicate issues, and risks directly with technical management or other responsible entities to ensure a fully integrated solution across multiple work streams.

The ideal candidate will have significant experience using analytical skills to seek out, research and evaluate a variety of options to provide high quality, efficient business processes and solutions that promote efficiency and aligns with the customer journey. Must demonstrate the ability to mediate and bridge the relationship between technical and business stakeholders without compromising the needs of the solution users and the strategic goals of the organization.

Principle Duties And Responsibilities

• Subject matter expert in the supported business process and analyze information from various sources to identify trends and opportunities.
• Supports division by managing projects.
• Ability to report progress to various levels of leadership within organization.
• Keeps abreast of new capabilities and functionalities needed across the business processes being supported.
• Plans, designs and recommends business processes to improve and support business activities.
• Assists with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs.
• Facilitates meetings with to gather and document requirements, workflows and explore potential solutions.
• Analyzes and documents client's business requirements and processes and communicates these requirements, including data analysis and volume estimates from organization.
• Collaborates with work teams, departments, system leadership, staff, other IT groups, and to define needs and business requirements.
• Provides input into developing and modifying systems to meet needs and develops business specifications to support these modifications.
• Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that requirements are incorporated into the system design.
• Assists in analyzing testing results.
• Participates in reviews and inspections to verify 'intent of change' is carried out through the entire project.
• Participates in business analyst tasks on information technology projects, problem tickets and provide support to other team members.
• Performs initial analysis of identified issues.
• Occasionally trains end users or coordinate with the Training team to help guide the development of end user training materials as needed.
• Ensure proper documentation and on-time delivery of all functional artifacts and deliverables for assigned work.
• Acts as liaison to IT, operations and/or vendors supported in the division.
• Works to understand, develop and propose business requirements.
• Serves as operational business unit SME for technical and/or data driven solutions.
• Performs other duties as assigned.
  
  

Education/Experience Required

• Bachelor’s degree required; Advanced degree preferred.
• 7 years of applicable work experience required; 5 years applicable experience in a Healthcare setting preferred. Preferred experience includes strong knowledge of state-of-the-art approaches in design, build, test, problem solving, and ability to articulate examples of workflows and processes associated with that experience.
• Ability to work in a remote environment.
• Experience with Agile Management preferred.
• Experience documenting business requirements.
• Excellent communication (written and oral) and interpersonal skills.
• Proven ability to work independently and as a team member.
• Ability to be flexible and work analytically in a problem-solving environment.
• Good organizational, multi-tasking, and time-management skills.
• Experience in application programming or application support.
  
  

Additional Information

• Organization: HAP (Health Alliance Plan)
• Department: Provider Network Operations
• Shift: Day Job
• Union Code: Not Applicable