Operations Business Analyst

$71,340 - $87,200/Yr

Careoregon - Salt Lake City, UT

posted 2 months ago

Full-time
Remote - Salt Lake City, UT
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 collaborate across various departments, including Information Systems (IS) and external vendors, to analyze problems, define business requirements, and recommend viable solutions. The Operations Business Analyst is responsible for overseeing the entire life cycle of development, from gathering requirements to implementation and ongoing support. This role emphasizes the application of process improvement methodologies, leveraging organizational assets, and adhering to best practices to enhance operational efficiency. In this role, the analyst will perform comprehensive 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, ensuring that all documentation related to business requirements, methodologies, systems flow, data flow, and functional system design is meticulously maintained. The analyst will translate business needs into actionable tasks for both analysts and IS teams, facilitating effective collaboration to implement necessary changes. Participation in User Acceptance Testing (UAT) is also a critical component of this role, ensuring that all changes meet the required standards before full implementation. 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. Regular project status reports will be required, along with ongoing system support and guidance to department staff. The analyst will also manage support requests through a ticketing system, ensuring timely resolution and effective communication regarding the status of pending requests. Building and maintaining productive relationships with customers at all levels is essential, as is engaging with senior leaders as thought partners when necessary. Presenting analysis results to executive sponsors will also be part of the responsibilities, ensuring that leadership is informed and engaged in the decision-making process.

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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