Operations Business Analyst

$71,340 - $87,200/Yr

Careoregon - Phoenix, AZ

posted 2 months ago

Full-time
Remote - Phoenix, AZ
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, focusing on 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 responsibilities include analyzing problems, defining business requirements, and recommending effective solutions. The Operations Business Analyst is responsible for overseeing the entire life cycle of development, from requirements gathering to implementation and ongoing support. This role also emphasizes the application of process improvement methods, leveraging organizational assets, and adhering to best practices. The specific areas of focus and specialization may vary depending on the department's needs. In this role, the analyst will perform existing systems analysis and design new systems, ensuring that functional business requirements for both new and existing processes are gathered and defined. Documentation is a key aspect, as the analyst will be responsible for creating comprehensive records of business requirements, methodologies, systems flow, data flow, and functional system design. The ability to translate business needs into actionable tasks for analysts and IS teams is crucial, as is collaboration with these teams to implement changes and participate in User Acceptance Testing (UAT). The Operations Business Analyst will also monitor and improve the quality of reports produced, maintain project quality, and implement continuous process improvements. Developing ad-hoc reports using Microsoft applications and providing analysis will be part of the daily responsibilities. The analyst will provide project status reports as required and will be responsible for ongoing system support and guidance to department staff. Additionally, the role involves monitoring and resolving support requests through a ticket system, communicating the status of pending requests to stakeholders, and effectively developing and maintaining productive customer relationships at all levels. Engaging with senior leaders as thought partners and presenting analysis results to executive sponsors are also key components of this position.

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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