CareOregon - Portland, OR

posted about 1 month ago

Remote - Portland, OR

About the position

The Operations Business Analyst is an advanced team resource providing technical and process assessments. The position works as a cross-functional team member and liaison between the assigned department, IS and external vendors to analyze problems, define business requirements and recommend solutions. The position is responsible for all aspects of the life cycle of development from requirements gathering to implementation and ongoing support. Additionally, the position applies process improvement methods by effectively utilizing organizational assets and applying best practices. Areas of focus and specialization vary by department.

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

  • 3 years' experience with Medicare and/or Oregon Medicaid
  • 2 years' 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 in provider network systems (for a provider or health plan), such as credentialing platforms, online provider portals, contract management systems
  • 3 or more years' experience working directly with claims as a Biller (for a provider) and/or claims processor (for a health plan)
  • Experience performing operations business analyses within the department's area of focus
  • 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
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