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Job Summary

The Business Systems Analyst gathers business requirements and translates them into functional and technical requirements within the appropriate application systems, in some cases serving as a technical liaison between the IT development team and the business community. Analysis and configuration of application systems, modifying existing systems to improve workflow or to serve new purposes is critical in this role. Incumbent is responsible for ensuring functionality, user acceptance and effective implementation of changes is met to solve problems, achieve business requirements and improve system performance.

Requirements

EDUCATION

Bachelor’s degree in Business, Computer Science, Healthcare Management or related field. In lieu of degree, five (5) years' health related non-clerical experience with an insurance, managed care, healthcare or technology related organization will be considered.

EXPERIENCE

Minimum five (5) years' business solutions analysis experience with a complex system technology. OR applicable Masters in related field with minimum three (3) years’ experience.

Demonstrated experience analyzing, developing, implementing, and supporting business systems and technology solutions. Experience with
data management, reporting, process improvement, and requirements gathering required.
Project management experience preferred.
Experience with Verint, Five9, and/or Cresta preferred.
Possesses in-depth knowledge of insurance technology business solutions such as claims processing, marketing, membership, enrollment,
customer service, financial and provider systems desirable.

ESSENTIAL SKILLS & ABILITIES

Problem Sensitivity

Detail Oriented

Workflow Analysis

Data testing and/or software application testing

Systems analysis skills

Technical and analytical skills

Excellent communication skills

Project management skills

Demonstrated innovation in identifying, proposing and overseeing the execution of business solutions.

Ability to build collaborative relationships.

Ability to interpret complex documentation.

Ability to use query tools such as SQL.

Skills

• Critical Thinking
• Decision Making
• Elicitation
• Interpersonal Communication
• Microsoft Office
• Multitasking
• Oral Communications
• Problem Sensitivity
• Relationship Building
• Results Interpretation
• Structured Query Language (SQL)
• Workload Prioritization
• Written Communication

Responsibilities

• Collaborates with various internal departments, analysts, development teams, external customers, and leadership to obtain cross functional team consensus on the interpretation of business requirements and needs.
• Designs and develops reports and data delivery by analyzing and summarizing the information and trends to make recommendations regarding system changes.
• Develops system requirement documents and technical specification documents for applications, which may also be used to assist user groups with the development and delivery of training programs or presentations. Conducts training of new procedures, system modifications and system releases upon request.
• Integrates data from multiple data sources or functional areas, ensures data accuracy and integrity, and updates data as needed to develop statistics and design methodologies to be used for decision making and new business solutions initiatives.
• Leads the design of new projects and programs by evaluating current practices, while conferring with management in order to define scope of work, purpose, goals and objectives, timelines and resource requirements for implementation.
• Performs other duties as assigned.
• Performs root-cause analysis and audits to verify workflow and identify process improvements. Confers with internal and external customers to identify system requirements. Configure system through the use of logic statements and devise effective solutions to these problems and new opportunities.
• Provides guidance with developing test scripts, executing test plans and maintaining test cases to assess system functionality and ensure user acceptance testing.
• Serves as a coach and mentor for team members; transferring knowledge to less experienced team members.
• Serves as a technical expert to guide the research, design, development, testing, documentation, implementation, maintenance, and evaluation of new systems and enhancement of existing systems to meet business needs.
• Serves as project lead on small to large scale projects ensuring process/system improvement initiatives are met according to specifications and on time.

Certifications

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties

Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type

Regular

ADA Requirements

2.1 General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job.