Business System Analyst Level 3

Integrated Resources Inc.; Pennington (NJ); On-site; USD 85,000 - 115,000; Full time

Job summary

A leading company in workforce solutions is seeking a Business System Analyst Level 3 to oversee the analysis of business needs for the health insurance sector. The ideal candidate will have over 5 years of experience, strong SQL skills, and the ability to translate complex requirements into technical specifications. This role involves independent work as well as partnership with external areas to ensure effective solutions that enhance business operations.

Qualifications

• 5+ years of health insurance industry experience, preferably in system configuration.
• Thorough knowledge of medical terminology, surgical procedures, and claims processing (FACETS Applications preferred).
• Minimum of 3 years translating business requirements into detailed system specifications.

Responsibilities

• Analyzing business needs and translating them into technical requirements.
• Overseeing the development, testing, and implementation of system specifications.
• Acting as Subject Matter Expert in systems and technologies.

Skills

Communication

Organizational

Analytical

Configuration Execution

SQL

Education

Bachelor’s Degree

Tools

MS Office

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Job Description

This position has oversight for the analysis and translation of business needs into business/technical requirements and performing configuration of the approved requirements in FACETS. Leads teams and other resources to ensure alignment of technical solutions with business requirements for complex issues (quantity and magnitude). Acts as a representative of Operations and Configuration to the Enterprise regarding Enterprise Initiatives. This position is responsible for gathering requirements from internal and external clients, providing business and technical expertise in support of the business area, providing configuration expertise during design/build sessions to find the most appropriate solution as well as ensuring that the proposed solutions support and enhance business operations. The Business System Analyst Level 3 elicits, analyzes, performs preliminary testing, communicates and validates requirements for changes to business processes, policies and transaction processing by creating Functional and Configuration documentation including development, technical, and implementation. This person is responsible for ensuring that all tasks are completed in a timely and accurate manner including receiving proper approvals through all control boards. This person works at a senior level of activity and work process coordination and functions independently within authorized limits. May partner with external areas to coordinate work and ensure that deliverables are met and that guidelines/policies are followed. Leads and owns the analysis of complex issues and coordinates the documentation and resolution of business needs.

Performs and oversees the development, testing and implementation of system specifications.

Acts as Subject Matter Expert in systems and technologies

Education:

· Bachelor’s Degree preferred (equivalent work experience may be considered)

Work Experience:

· 5+ years of health insurance industry experience, preferably in system configuration.

Knowledge:

· Requires a minimum of 5 years of experience with claims processing (FACETS Applications preferred)

· Requires a minimum of 3 years of experience translating business requirements into detailed system specifications.

· Thorough knowledge of medical terminology, surgical procedures, CPT/HCPCS, and ICD coding methodologies.

· SQL knowledge and experience is a must.

· Requires strong ability to apply structure to loosely defined complex problems

· Demonstrates understanding of core business functions

Skills:

· Requires skillful configuration execution experience and knowledge

· Requires excellent verbal and written communication skills

· Requires strong organizational and analytical skills

· Requires strong MS Office and technical system skills.

· Clearly articulate (both verbal and written) project status and issues management

Qualifications

Work Experience:

· 5+ years of health insurance industry experience, preferably insystem configuration.

Knowledge:

· Requires aminimum of 5 yearsof experience withclaims processing (FACETS Applications preferred)

· Requires aminimum of 3 years of experience translating businessrequirements into detailed system specifications.