Business Systems Analyst

Stefanini North America and APAC; Grand Rapids (MI); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Stefanini North America and APAC is seeking a Business Systems Analyst for the Grand Rapids, MI area in a hybrid role. The candidate will drive Optum CES configuration, edits, and integration with Facets and Epic Tapestry to support payer strategies.

Under minimal supervision, you will analyze business needs, document requirements, and collaborate cross-functionally to optimize claims adjudication workflows and system alignment with health care industry standards.

Qualifications

• Associate's degree from technical school or equivalent required.
• Bachelor's degree or equivalent preferred.
• 2 years of relevant experience in the Optum CES and Facets; 3 years in the field preferred.

Responsibilities

• Define systems scope and objectives through research and fact-finding.
• Analyze business processes and document requirements for information systems.
• Collaborate with stakeholders to troubleshoot existing systems.
• Stay current with industry trends and impact on technology.

Skills

Optum CES

Facets

Epic Tapestry

Education

Associate's Degree or Technical school

Bachelor's Degree or equivalent

Tools

CES/Facets integration tools

Job description

Stefanini is looking for a Business Systems Analyst for Grand Rapids, MI location (Hybrid).

W2 candidates only!

Expenses allowed: TBD

Client Equipment to be Provided

Specific Skillset Requirements:

We are seeking a seasoned Business Analyst with expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignments. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies, Optum CES and Facets experience.

Job Summary:

• Under minimal supervision, formulates and defines systems scope and objectives through research and fact-finding, combined with an understanding of applicable business systems and industry requirements. With this knowledge, develops or modifies moderately-sized information systems. Includes analysis of business and user needs, documenting requirements, and revising existing system logic issues as necessary. Considers the business implications of the application of technology to the current business environment. Assists and advises less-experienced Business Systems Analysts. Competent to work in some phases of systems analysis, but may require guidance in others.

Essential Functions:

• Under minimal supervision, with the implications of the application of new/differing technology to the current business environment in mind, utilizes research and analysis, along with an understanding of relevant business systems and industry requirements, to define systems scopes and objectives for developing new, or improving existing, information systems.
• Performs business analysis, workflow analysis and optimization, works with users to define their needs and then document requirements.
• Collaborates with others to troubleshoot issues with existing systems.
• Remains current with business requirements and needs, based upon future industry trends and changes and understands the implications for existing technology.

Job Requirements

Details:

Technical Skills:

Must Have

• Optum CES and Facets

Nice To Have

• Epic Tapestry

Qualifications:

• Required Associate's Degree Technical school or equivalent
• Preferred Bachelor's Degree or equivalent
• 2 years of relevant experience in the Optum CES and Facets
• 3 years of relevant experience in the field Preferred
• Experience formulating and defining systems scopes and objectives Preferred
• Experience in systems development lifecycle, including requirements gathering and design Preferred
• Participant in multiple phases of an integrated system implementation Preferred
• Background in a health care, sciences or information systems Preferred