Description
Remote
Our client seeks a Sr Business Analyst to support a large, multi-year Health Plan initiative. The role will elicit, analyze, document, and manage requirements for changes to business processes, policies, information, and information systems for complex business problems. The analyst will collaborate with cross-functional teams, ensure requirements traceability, drive business readiness and communication activities, and support training and post-implementation reviews. The engagement focuses on healthcare plan operations including medical appeals, claims, and large plan implementations.
Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance.
Responsibilities
- Elicit, analyze, document, and manage business and functional requirements for complex initiatives.
- Develop requirements approaches and management plans aligned to project plans.
- Communicate and validate requirements with stakeholders and subject matter experts.
- Maintain solution scope and requirements traceability throughout the project lifecycle.
- Drive business readiness activities, including communication planning for changes to technology, processes, and people.
- Support and coordinate training to ensure efficient implementations and desired outcomes.
- Develop procedures and specifications for systems or process changes and coordinate cross-functional implementation.
- Design and conduct post-implementation audits and implement customer feedback mechanisms.
- Analyze workflow processes, design and test solutions, and assess organizational impacts.
- Manage requirements change requests and maintain documentation.
- Develop and maintain reporting tools to measure performance and ensure data integrity.
- Present results and insights to business stakeholders and leadership.
- Identify business risks, recommend mitigation strategies, and escalate when necessary.
- Build and support vendor relationships and assist with training as needed.
- Provide oversight and peer reviews for less experienced analysts.
Experience Requirements
- 5+ years of related business analysis experience. In lieu of a degree, 7+ years of related experience.
- Experience in healthcare, health plan, insurance, or pharmaceutical domains.
- Hands-on exposure to medical appeals, claims, and large plan implementations.
- Strong communication and stakeholder management skills in high-pressure environments.
- Proficiency with industry standard analysis techniques such as data flow modeling, use-case analysis, workflow analysis, business process mapping, functional decomposition, and ROI modeling.
Education Requirements: Bachelor's degree or advanced degree preferred.