Business Systems Analyst

Stefanini Group•Grand Rapids, MI

13d•Hybrid

About The Position

Stefanini Group is hiring! Stefanini is looking for a Business Systems Analyst for Grand Rapids, MI location (Hybrid). This individual will be responsible for driving CES configuration, edit implementation, and system alignments. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies, Optum CES and Facets experience. Under minimal supervision, formulates and defines systems scope and objectives through research and fact-finding, combined with an understanding of applicable business systems and industry requirements. With this knowledge, develops or modifies moderately-sized information systems. Includes analysis of business and user needs, documenting requirements, and revising existing system logic issues as necessary. Considers the business implications of the application of technology to the current business environment. Assists and advises less-experienced Business Systems Analysts. Competent to work in some phases of systems analysis, but may require guidance in others. Under minimal supervision, with the implications of the application of new/differing technology to the current business environment in mind, utilizes research and analysis, along with an understanding of relevant business systems and industry requirements, to define systems scopes and objectives for developing new, or improving existing, information systems. Performs business analysis, workflow analysis and optimization, works with users to define their needs and then document requirements. Collaborates with others to troubleshoot issues with existing systems. Remains current with business requirements and needs, based upon future industry trends and changes and understands the implications for existing technology.

Requirements

Expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry.
Optum CES and Facets experience.
Associate's Degree or Technical school or equivalent.
3 years of relevant experience in the field.

Nice To Haves

Epic Tapestry experience.
Bachelor's Degree or equivalent.
2 years of relevant experience in the field.
Experience formulating and defining systems scopes and objectives.
Experience in systems development lifecycle, including requirements gathering and design.
Participant in multiple phases of an integrated system implementation.
Background in a health care, sciences or information systems.

Responsibilities

Driving CES configuration, edit implementation, and system alignments.
Enhancing claims adjudication workflows and ensuring alignment with payer strategies, Optum CES and Facets experience.
Formulating and defining systems scope and objectives through research and fact-finding.
Developing or modifying moderately-sized information systems.
Analyzing business and user needs, documenting requirements, and revising existing system logic issues as necessary.
Considering the business implications of the application of technology to the current business environment.
Assisting and advising less-experienced Business Systems Analysts.
Performing business analysis, workflow analysis and optimization.
Working with users to define their needs and document requirements.
Collaborating with others to troubleshoot issues with existing systems.
Remaining current with business requirements and needs, based upon future industry trends and changes and understanding the implications for existing technology.