Working under general supervision, 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.
Pharmacy support - will need accurate maintenance of configuration in Rx claims systems.
Job Essentials
1. Participates in Business Process Management (BPM) including modeling processes using various notations (i.e., BPMN), creating components, implementing processes, and assessing the results.
2. 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.
3. Provides guidance to less experienced analysts.
4. Maintains an understanding of current project management application development methodologies, tools, and techniques (SDLC) for small to medium sized projects. Participates as a subject matter expert in 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 small to medium sized projects, initiatives and applications.
5. 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.
6. Participates in 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.
7. Gathers/develops and documents business requirements and functional mapping documents to support system enhancements.
8. 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.
9. As a standalone or in collaboration with others, develops, publishes, and maintains intermediate queries and reports for daily, weekly, monthly, and quarterly use by utilizing data models and extracting data from multiple sources.
10. Provides business intelligence solutions by turning data into useful and meaningful information so stakeholders can make timely and informed decisions.
11. 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).
12. Critical decision-making skills while working with multiple departments and vendors.
13. Accurate maintenance of configuration in Rx claims systems.
14. Maintain the integrity of system configuration by ensuring consistency and accuracy across various lines of business.
15. Ability to interpret and apply guidance and regulations from Government regulatory entities.
Minimum Qualifications
Bachelor's degree and one year of experience in health care, health insurance, business analysis, or information systems. Degree must be obtained through an accredited institution. Education is verified.
• or -
Five years of experience in health care, health insurance, business analysis, or information systems.
• and -
Demonstrated intermediate skills with spreadsheets, word processing, and database applications.
• and -
Demonstrated ability to design and run intermediate to complex queries and reports.
Preferred Qualifications
Certified Business Analysis Professional (CBAP) certification
• or -
Project Management Professional (PMP) certification.
Experience working in a health care related industry.
• and -
Understands most types of information used in a healthcare environment and how data is produced, consumed and transformed.
• and -
Demonstrated analytical, organizational, and communication skills.
• and -
Proficient at solving complex problems.
• and -
Skilled at bringing order to ideas and processes as well as communicating business concepts to technical and non-technical personnel.
• and -
Knowledge of health care related products and services.
• and -
Knowledge of market dynamics, legal contracts and health insurance regulations.
Physical Requirements:
Interact with others requiring the employee to communicate information.
• and -
Operate computers and other IT equipment requiring the ability to move fingers and hands.
• and -
See and read computer monitors and documents.
• and -
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.
$31.78 - $50.07
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 packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
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.
All positions subject to close without notice.
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