Operations Business Analyst

$71,340 - $87,200/Yr

Careoregon - Astoria, OR

posted 2 months ago

Full-time - Mid Level
Remote - Astoria, OR
Insurance Carriers and Related Activities

About the position

The Operations Business Analyst at CareOregon is a pivotal role that serves as an advanced resource for technical and process assessments within the organization. This position is designed for a professional who can effectively bridge the gap between various departments, Information Systems (IS), and external vendors. The primary responsibility of the Operations Business Analyst is to analyze problems, define business requirements, and recommend solutions that enhance operational efficiency. This role encompasses the entire life cycle of development, from gathering requirements to implementation and ongoing support, ensuring that all processes align with the organization's strategic goals. In this role, the analyst will perform existing systems analysis and design new systems tailored to the needs of the organization. They will gather and define functional business requirements for both new and existing processes, documenting these requirements along with business methodologies, systems flow, data flow, and functional system design. The analyst will translate business needs into actionable tasks for analysts and IS teams, collaborating closely to implement changes and participate in User Acceptance Testing (UAT). Additionally, the Operations Business Analyst will monitor and improve the quality of reports produced, maintain project quality, and implement continuous process improvements. They will develop ad-hoc reports using Microsoft applications and provide insightful analysis to stakeholders. Ongoing system support and guidance to department staff will be a key aspect of this role, as will the management of support requests through a ticketing system. The analyst will also communicate the status of pending requests to stakeholders and represent the perspective of business units during projects and implementations. The position requires effective relationship management with customers at all levels, engaging senior leaders as thought partners when necessary, and presenting analysis results to executive sponsors as needed. The Operations Business Analyst will perform their work in alignment with CareOregon's mission, vision, and values, supporting the organization's commitment to equity, diversity, and inclusion.

Responsibilities

  • Perform existing systems analysis and design new systems.
  • Gather and define functional business requirements for new and existing processes.
  • Document business requirements, business methodologies, systems flow, data flow and functional system design.
  • Translate business needs and requirements into actionable tasks for analysts and IS teams.
  • Collaborate with analysts and IS teams to implement changes; participate in User Acceptance Testing.
  • Monitor and improve the quality of reports that are produced.
  • Monitor, maintain and improve project quality and implement continuous process improvements.
  • Develop ad-hoc reports using Microsoft applications and provide analysis.
  • Provide project status reports as required.
  • Monitor and provide ongoing system support and guidance to department staff.
  • Monitor and resolve support requests using ticket system; escalate requests as necessary.
  • Communicate the status of pending requests to stakeholders.
  • Communicate the perspective of business units for projects and implementations.
  • Effectively develop, manage, and maintain productive customer relationships at all levels.
  • Engage senior leaders as thought partners on an occasional basis.
  • Present the results of analysis to executive sponsors as needed.

Requirements

  • Minimum 3 years' experience with Medicare and/or Oregon Medicaid.
  • Experience related to business analysis, process improvement, systems testing, and/or requirements gathering for systems implementations.

Nice-to-haves

  • Experience performing operations business analyses within the department's area of focus.
  • Claims department roles: 3 or more years' experience working directly with claims as a Biller (for a provider) and/or claims processor (for a health plan).
  • Experience working with QNXT, or similar Claims/Authorization processing platforms.
  • Exposure to business modeling tools (i.e., Visio) and various methodologies / frameworks such as CMMI, RUP, Six Sigma.

Benefits

  • Estimated hiring range $71,340 - $87,200 / year
  • 5% bonus target
  • Full benefits package
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