Business Analyst - Senior

Title: Business Analyst-Senior

Location:

Fully Remote

locations

SelectHealth - Murray

time type

Full time

Job Description:

Job Description:

Working under general direction, this position is responsible for sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and data. This position is also responsible for developing and executing process improvements, reporting and quality monitoring of processes, vendor relationships, and trading partner exchanges.

Essential Functions

• Participates in Business Process Management (BPM) including modeling processes using various notations (i.e., BPMN), creating components, implementing processes, and assessing the results. Regularly interprets and monitors departmental contractual compliance of government requirements (e.g., CMS, HIPAA, ACA) including determining the business impact and managing the collection and submission of required performance metrics and data reporting requirements. Actively participates on national and local standards committees. Provides project guidance and training to less experienced users/analysts to increase department and systems knowledge and understanding.
• Maintains an in-depth understanding of current project management application development methodologies, tools, and techniques (SDLC) for large sized projects. Responsible as a subject matter expert for project team and vendor activities for assigned projects; applications including business and technical research, planning, analysis, risk assessment, quality assurance, documentation, communication and deployment. Provides project management for large sized projects, initiatives and applications.
• Provides support as projects and applications move through the process and post implementation. This includes: interface trouble shooting, vendor relations, issue tracking, communication to customers and opening incident tickets with developers for problem resolution.
• Oversees accuracy of department processes and policies by facilitating the development and execution of user acceptance scenarios and scripts for testing of system changes and enhancements, including the development and implementation of testing protocols and procedures. Gathers/develops and documents business requirements and functional mapping documents to support system enhancements.
• Evaluates and provides assistance and guidance to process owners and internal stakeholders in the planning and execution of process improvement activities including identifying suitable strategies, methodologies, and interventions necessary to achieve desired outcomes.
• As a standalone or in collaboration with others, develops, publishes, and maintains complex queries and reports for daily, weekly, monthly, and quarterly use by extracting data from multiple sources. Provides business intelligence solutions by turning data into useful and meaningful information so stakeholders can make timely and informed decisions.
• Collects, manipulates, and analyzes data from system to system, assessing trends to be used for performance improvement initiatives and to solve business or system related problems (troubleshooting). Participates in cost analysis and design for projects and applications.
• May be responsible for staff supervision, payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence.

 

Skills

• Experience with SQL/Databricks

• Communication

• Continuous Improvement

• Decision Making 

• Prioritization 

• Analytical Thinking 

• Documentation

 

Job Specifics

• Schedule: Monday - Friday 9am- 5 pm

• This role can be fully remote

• We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.

 

Minimum Qualifications

• Bachelor's degree and four years of experience in health care, health insurance, business analysis or information systems. Degree must be obtained through an accredited institution. Education is verified.
• -or-
• Eight years of experience in health care, health insurance, business analysis or information systems.
• Demonstrated advanced skills with spreadsheets, word processing, and database applications.
• Demonstrated ability to design and run complex queries and reports.

 

Preferred Qualifications:

• Previous experience with Tredium adjudication system.
• Previous experience in pharmacy setting or PBM experience.
• Strong organizational, data gathering and data analysis skills.
• Critical decision-making skills while working with multiple departments and vendors.
• Accurate maintenance of configuration in Rx claims systems.
• Maintain the integrity of system configuration by ensuring consistency and accuracy across various lines of business.
• Ability to interpret and apply guidance and regulations from Government regulatory entities. 

 

 

Physical Requirements:

Physical Requirements

• Interact with others requiring the employee to communicate information.
• Operate computers and other IT equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

 

Location:

SelectHealth - Murray

 

Work City:

Murray

 

Work State:

Utah

 

Scheduled Weekly Hours:

40

 

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$39.57 - $62.29

 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

 

Learn more about our comprehensive benefits package here.

 

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

 

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.