Operations Business Analyst

$71,340 - $87,200/Yr

Careoregon - Seattle, WA

posted 2 months ago

Full-time - Mid Level
Remote - Seattle, WA
Insurance Carriers and Related Activities

About the position

The Operations Business Analyst at CareOregon is a pivotal role that serves as an advanced team resource, providing essential technical and process assessments. This position is designed for a cross-functional team member who acts as a liaison between the assigned department, Information Systems (IS), and external vendors. The primary focus of the Operations Business Analyst is to analyze problems, define business requirements, and recommend effective solutions. This role encompasses all aspects of the development life cycle, from requirements gathering to implementation and ongoing support. The analyst will apply process improvement methods, leveraging organizational assets and best practices to enhance operational efficiency. The specific areas of focus and specialization may vary depending on the department's needs. In this role, the Operations Business Analyst will perform existing systems analysis and design new systems tailored to the organization's requirements. Responsibilities include gathering and defining functional business requirements for both new and existing processes, documenting these requirements, and creating systems flow, data flow, and functional system designs. 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). Continuous monitoring and improvement of report quality, project quality, and overall process efficiency are critical components of this position. The analyst will also develop ad-hoc reports using Microsoft applications and provide insightful analysis to stakeholders. The Operations Business Analyst will be responsible for ongoing system support, monitoring support requests through a ticketing system, and communicating the status of these requests to stakeholders. Building and maintaining productive relationships with customers at all levels is essential, as is engaging with senior leaders as thought partners when necessary. The analyst will present the results of their analyses to executive sponsors as required, ensuring alignment with the organization's mission, vision, and values. This role also emphasizes the importance of equity, diversity, and inclusion, fostering a culture of respect and open-mindedness within the organization.

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 including health insurance, dental insurance, and retirement plans.
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