Business Analyst Jobs

About The Position

Requirements

• At least 4 years of experience in previous roles in a managed care organization, health insurance, or a directly adjacent field, or an equivalent combination of relevant education and experience.
• Knowledge of policy and government legislative review.
• Strong analytical and problem-solving skills.
• Familiarity with administration systems.
• Robust knowledge of Microsoft Office products, including Word, Excel, Outlook, and Teams.
• Previous success in a dynamic and autonomous work environment.
• Ability to maintain relationships with Health Plans/Product Team and Corporate Operations so end-to-end business requirements are documented and interpretations are clear and agreed upon.
• Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
• Strong interpersonal, oral, and written communication skills, with the ability to communicate with people at all company levels.
• Ability to concisely synthesize large and complex requirements.
• Ability to organize and maintain regulatory data, including real-time policy changes.
• Self-motivation and ability to take initiative, identify and communicate potential problems, and resolve them.
• Ability to work independently in a remote environment and with colleagues in other time zones.

Nice To Haves

• Project implementation experience.
• 2 or more years of experience in customer-facing web or portal product ownership or development.
• Reporting and analytics experience.

Responsibilities

• Develop and maintain requirement documents concerning coverage, reimbursement, and other applicable system changes, ensuring alignment with regulatory baseline requirements and health plan or product team requirements.
• Monitor regulatory sources for updates and work with operational leaders to recommend process improvements and cost-saving opportunities.
• Lead the coordinated development and ongoing management and interpretation review process, including committee structure and timing with key partner organizations.
• Interpret customer business needs and translate them into application and operational requirements.
• Communicate requirement interpretations and changes to health plans, product teams, and impacted corporate functional areas to support alignment, approvals, and solution traceability.
• Codify requirements for system configuration alignment where applicable.
• Provide support for requirement interpretation inconsistencies and complaints.
• Assist in developing requirement solution standards and best practices, and suggest ways to apply requirements consistently across states and products where possible.
• Provide organized reporting to health plans, product teams, and other leaders about work efforts and the financial impact of prospective or retrospective requirement changes.
• Coordinate with relevant teams to analyze, assess the impact of, and implement product changes.
• Engage operations leadership and Plan Support functions to review compliance-based issues for benefit planning.

Benefits

• Competitive benefits and compensation package.