Healthcare Business Analyst

Sr. Business Analyst Location: Philadelphia, Pennsylvania/Hybrid Summary/Objectives: Senior Business Analyst will analyze business processes relative to available and new functionality within supported applications. Provide options to create efficiencies through supported applications. Supports corporate goals by ensuring that activities and outcomes are in compliance with partners, clients, government contracts and internal strategies. Set-up, configure, execute and/or coordinate processes in production, development, testing, and training environments. Essential Functions: The Senior Business Analyst may be responsible to deliver or coordinate training for Business Units. Develops processing guidelines and standards for the department. Maintains accurate department records and documentation. Develops and implements business solutions to meet customer needs and requirements, including project design, success measurement, testing, auditing and documentation. Independently manages the completion of assigned tasks ensuring priorities and timelines are met - Typically, manages 4 - 5 projects, affecting multiple departments, with significant departmental cost and impact. Serves as Operations liaison with Information Services and management to modify and design procedures and reports. Supports system conversions and upgrades, contributes to the development of implementation plans, deployment and migration documents and provides support to facilitate system implementations. Provides technical support for EDI related functions or other specific systems/functions within the business unit. Document and track metrics to assist the department in tuning batch jobs for optimum performance. Coordinate "dry run/dress rehearsal" of production deployment in testing environment Review and QA of system fixes, patches and updates to ensure current fix level is maintained Maintain system operations reference manuals and documentation for all supported systems. Participates in internal and external audits, reviews and inspections Demonstrated technical and project management skills with the ability to coordinate and manage multiple, concurrent projects and to delegate responsibilities. Develops test plans, quality assurance and audit procedures for new systems or system enhancements. Ensures deadlines for review and reporting responsibilities are met. EDUCATION, EXPERIENCE AND SKILLS Education/Experience: Bachelor's Degree or equivalent experience and 7 or more years related work experience in Managed Care Operations, progressive experience in systems development or information systems preferred, and Project Management experience preferred. Strong understanding of system data models and database table structure. Proficiency in writing and executing queries. Demonstrated experience with and understanding of managed care operations department and system module interdependencies. Technical : Provide technical and application support including, but not limited to the assessment of technical capabilities and usage relative to technical capabilities. Query MHS databases or coordinate all queries on AS400 or AS400-like databases. Manage issues associated with technical interfaces within Supported applications to ensure resolution in a timely and accurate way. Must have experience with MS Excel, Word, Access and / or other database applications Communication : Communicates clearly & professionally. Contributes to a positive internal & external customer experience. Maintains composure in challenging situations. Collaborates with others. Asks for constructive feedback. Promotes a culture of diversity, respect & accountability. Challenges other through productive discussion. Anticipates and keeps project staff, stakeholders and management staff informed of future or planned events which could impact on implementations. Ability to interface with all levels of management

Created: 2024-10-28