Operations Business Analyst

$71,340 - $87,200/Yr

Careoregon - Portland, OR

posted 2 months ago

Full-time - Mid Level
Remote - Portland, OR
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 professional who can work effectively as a cross-functional team member and act as a liaison between the assigned department, Information Systems (IS), and external vendors. The primary focus of the role is to analyze problems, define business requirements, and recommend effective solutions. The Operations Business Analyst is responsible for overseeing all aspects of the development life cycle, from requirements gathering to implementation and ongoing support. This includes applying process improvement methods and leveraging organizational assets to implement best practices across various departments. 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 with them to implement necessary changes and participate in User Acceptance Testing (UAT). Additionally, the analyst will monitor and improve the quality of reports produced, maintain project quality, and implement continuous process improvements. The Operations Business Analyst will also be responsible for developing ad-hoc reports using Microsoft applications, providing project status reports, and offering ongoing system support and guidance to department staff. They will manage support requests through a ticketing system, ensuring effective communication regarding the status of pending requests to stakeholders. Building and maintaining productive customer relationships at all levels is crucial, as is engaging senior leaders as thought partners and presenting analysis results to executive sponsors as needed. The role requires alignment with the organization's mission, vision, and values, as well as a commitment to equity, diversity, and inclusion, fostering a culture of respect and compassion for all individuals.

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

  • 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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