Business Analyst - Technical - Senior

Intermountain Healthcare Inc.; Oklahoma; On-site; USD 70,000 - 110,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking a Business Analyst to sustain business processes and serve as the interface for data and system changes. You will develop process improvements, monitor quality and metrics, and support vendor relationships and data exchanges.

You will model processes (BPMN), analyze government compliance requirements (CMS, HIPAA, ACA), and provide guidance to analysts while delivering reporting and complex queries across multiple data sources to drive informed decisions.

Qualifications

• Bachelor's degree and four years of experience in health care, health insurance, business analysis or information systems.
• 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.

Responsibilities

• Sustain business processes and interface changes for systems and data.
• Develop and execute process improvements, reporting, and quality monitoring.
• Provide project guidance and training to less experienced users.
• Lead BPM efforts using models like BPMN and monitor compliance.
• Create and maintain complex queries and reports for daily/weekly/monthly metrics.
• Oversee testing protocols and data collection for performance metrics.

Skills

Analytical Thinking

Business Acumen

Technological Nomenclature

Communication

Data Interpretation

Data Reporting

Mentoring

Coaching

Strategic Planning

Project Management

Cost Analysis

Facilitation

Continuous Improvement

Work Prioritization

Quality Assurance

Documentation

Education

Bachelor's degree in health care, health insurance, business analysis or information systems

Tools

GitHub

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

• Analytical Thinking
• Business Acumen
• Technological Nomenclature
• Communication
• Data Interpretation
• Data Reporting
• Mentoring
• Coaching
• Strategic Planning
• Project Management
• Cost Analysis
• Facilitation
• Continuous Improvement
• Work Prioritization
• Quality Assurance
• Documentation

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

• Experience working as a business analyst within pharmacy, pharmacy benefits, PBM, or a related healthcare environment .
• Moderate to advanced SQL skills , including experience developing queries to analyze, validate, and troubleshoot data across multiple data sources.
• Experience with GitHub or similar source-control platforms for managing code, queries, documentation, and development changes.
• Understanding of and experience working with API integrations , including the ability to interpret technical documentation and support data exchanges between systems.
• Experience working within the healthcare or health insurance industry , with an understanding of healthcare business processes and data.
• Understanding of how healthcare data is produced, consumed, transformed, validated, and exchanged