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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 enterprise business solutions development team and the business community. The analysis and configuration of application systems, modifying existing systems to improve workflow or to serve new purposes is critical in this role. The 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 in addition to the experience requirements listed below.

EXPERIENCE & KNOWLEDGE

Minimum three (3) years' business systems analysis experience with a complex system technology OR applicable Masters in related field with minimum one (1) years' experience.

In-depth knowledge of insurance technology systems such as claims processing, marketing, membership, enrollment, customer service, financial and provider systems.

ESSENTIAL ABILITIES

Ability to build collaborative relationships.

Ability to interpret complex documentation.

Ability to use query tools.

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

• Assists in the design of new projects and programs by evaluating current practices, while conferring with management to define scope of work, purpose, goals and objectives, timelines and resource requirements for implementation.
• Assists with developing test scripts, executing test plans and maintaining test cases to assess system functionality and ensure user acceptance testing.
• Collaborates with various internal departments, external customers, and leadership to obtain cross functional team consensus on the interpretation of business requirements and needs.
• Conducts training of new procedures, system modifications and system releases upon request.
• Configure system through the use of logic statements and devises effective solutions to problems and new opportunities.
• Develops enterprise business solution systems requirement documents and technical specification documents for applications, which may be used to assist user groups with the development and delivery of training programs or presentations.
• 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 used for decision making and new business initiatives.
• Performs other duties as assigned.
• Performs root-cause analysis and audits to verify workflow and identify process improvements and confers with internal and external customers to identify system requirements.
• Prepares reports and data delivery by analyzing and summarizing the information and trends to make recommendations regarding system changes.
• Serves as a technical resource to guide the research, design, development, testing, documentation, implementation, maintenance, and evaluation of new enterprise business solution systems and enhancement of existing systems to meet business needs.
• Serves as project lead on small to medium scale projects.

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.