Senior Business Analyst - Medical Coding Configuration

Blue Cross Blue Shield of Minnesota•Eagan, MN

13d•Hybrid

About The Position

As a Senior Business Analyst, you will work on Optum CES (Claims Edit System) and be responsible for the analysis, development, support, reporting and coordination of business workflow automation and to implement efficient business processes at an enterprise level for Payment Integrity coding configuration.

Requirements

5+ years of related information technology professional experience.
Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Nice To Haves

Optum CES (Claims Edit System) experience
5+ years of medical coding experience in lieu of Information technology experience.
FACETS platform experience.
Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
Proficiency with business technology platforms, systems, software, and tools.
Understanding of business operations, processes, or domain context.
Ability to analyze information and support business decisions, solutions, or process outcomes.

Responsibilities

Conducts in-depth research and analysis.
Identifies trends, emerging issues and recommends best practices to ensure maximum results and develops metrics.
Documents metrics and process changes.
Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.
Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
Serves as senior subject matter expert associated with content, processes, and procedures.
May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.
Performs additional responsibilities consistent with the scope and level of the role, as assigned.