Business Analyst, IT

Brighton Health Plan Solutions; North Carolina; On-site; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare enablement company as a Business Analyst, where your analytical skills will help transform how healthcare is accessed and delivered. In this role, you will collaborate with clients and business teams to document reporting requests and translate complex data into actionable insights. This innovative firm values diversity and inclusion, encouraging you to bring your authentic self to work. You'll be part of a dynamic team focused on improving health outcomes and enhancing the member experience through cutting-edge solutions. If you're passionate about making a difference in healthcare, this opportunity is for you!

Qualifications

• Bachelor's degree in healthcare administration, business, or related field required.
• Experience in healthcare analytics or business analysis is essential.

Responsibilities

• Collaborate with clients to gather and document reporting requests.
• Analyze and document business requirements and processes.

Skills

Analytical Skills

Data Visualization Tools

Communication Skills

Healthcare Data Knowledge

Problem-Solving

Education

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Business

Bachelor's Degree in Data Science

Tools

Electronic Health Records (EHR)

Job description

About The Role

We are seeking a detail-oriented and analytical Business Analyst to join our team. The ideal candidate will be responsible for collaborating with clients and business teams, to gather and document reporting requests. This role requires knowledge of healthcare data (Eligibility, Claims processing & Reimbursements, Benefits Configuration etc.), analytical skills, data visualization tools, and the ability to communicate findings effectively to stakeholders.

Primary Responsibilities

• Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet project needs.
• Critically evaluate information gathered from multiple sources; reconcile conflicts; abstract up from low-level information to a general understanding; and distinguish requests from underlying true needs.
• Break down high level information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs.
• Analyze and document business requirements and processes; use and promote industry standard analysis techniques, such as data flow modeling, use-case analysis, workflow analysis, business process mapping,
• Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications.
• Presenting concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards.
• Forwards functional specifications to digital team members for design and solution development.
• Work within timeline and resource constraints provided by the Project Manager.
• Partner with stakeholders on requirements prioritization, solution approach and alternatives, and manage requirements changes to ensure developed solution conforms to business needs.
• Proactively identify areas of potential business risk, on projects both within and outside of control, make recommendations related to mitigation and escalate as necessary.
  
  

Essential Qualifications

• Bachelor's degree in healthcare administration, Business, Data Science, or a related field. BA Certifications and or PMP is a plus.
• Skilled at persuasive written and verbal communications that drive action or set strategic direction
• Experience in healthcare analytics, business analysis, or a similar role.
• Strong understanding of healthcare systems, policies, and regulatory requirements.
• Experience working with Electronic Health Records (EHR) and healthcare data management systems is a plus.
• Ability to translate complex data into actionable business insights.
• Excellent problem-solving, critical-thinking, and communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.
  
  

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.

Come be a part of the Brightest Ideas in Healthcare.

Company Mission

Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

• We are an Equal Opportunity Employer
  
  

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]

Required

Preferred

Job Industries

• Other