Proficient understanding of clinical operations, including Care Management, Utilization Management, and Appeals & Grievances
Previous experience using ONE of these GuidingCare, Care Manager or Onbase clinical platforms
Purpose
The Lead Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for leading the gathering and synthesizing of business requirements for high complexity software, systems, processes and/or services and translating them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow.
Essential Functions
30% Interprets business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the Business area’s user and/or technical (functional/non-functional) requirements. Key contributor in the creation of project plans to define, organize and schedule requirements management and development activities. Provides oversight and strategic direction to lower level analysts which includes coaching, mentoring, and delegating of tasks and deliverables. Facilitates requirements analysis and verification sessions. Accountable in the tracking and management of open issues and assists in planning for resolution. Responsible for successful development sessions and design reviews in order to ensure design meets user requirements.
20% Responsible for overall success of user acceptance testing, including documentation, verification and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Leads in creating formal communication to be delivered to relevant stakeholders. Providing guidance and training to application end users.
20% Identifies, documents and troubleshoots problems with their in-depth knowledge of the relationships in systems, software and processes. Collaborate with appropriate stakeholders to monitor, report and resolve issues. Participates in the development of solutions and workarounds that solve high complexity technical, system and/or business issues.
15% Reviews, analyzes and creates detailed documentation of business systems, processes, software and user needs. Responsible for writing all documentation to established standards, in a clear and well organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of high complexity.
10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests.
5% Answers policy-related questions for business process, systems and software which require research and consultation with others internally and externally.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's Degree
Education Details: Business Administration, Business Management, Finance or related field
Experience: 8 years progressive experience in business analysis, systems analysis, testing or other analytical experience
In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Preferred Qualifications
Proficient understanding of clinical operations, including Care Management, Utilization Management, and Appeals & Grievances
Previous experience using the GuidingCare, Care Manager or Onbase clinical platforms
Master's Degree MBA
Expert understanding of business analysis core competencies
Prior business analysis coaching and mentoring experience
Knowledge, Skills And Abilities (KSAs)
Strong time-management and organizational skills, Expert
Excellent communication skills both written and verbal, Expert
Ability to organize stakeholder meetings., Expert
Use of Microsoft Office applications., Expert
Ability to train and mentor others., Expert
Seniority level
Associate
Employment type
Full-time
Job function
Research, Analyst, and Information Technology
Industries
IT Services and IT Consulting
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