Health Plan Senior Business Analyst

Samaritan Health Services; Corvallis (OR); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a skilled Business Analyst to enhance operational efficiency across various departments. The ideal candidate will leverage their expertise in Information Systems and project management to drive improvements and ensure data reliability. This role involves leading projects, collaborating with developers, and facilitating process design changes to align with long-term business strategies. If you're passionate about optimizing systems and processes in a dynamic environment, this opportunity is perfect for you.

Qualifications

• Bachelor's degree required; Master's degree preferred.
• Four years of business analysis experience required.

Responsibilities

• Review business processes to identify operational risks and improve efficiency.
• Lead projects and assist in complex interdepartmental projects.

Skills

SQL

Microsoft Excel

Business Analysis

Project Management

Process Improvement

Education

Bachelor's Degree

Master's Degree

Tools

Business Requirements Documentation

UAT Plans

Job description

JOB SUMMARY/PURPOSE

Responsible for reviewing assigned business processes from end-to-end to identify and address operational, clinical, financial, and technological risks. Identifies opportunities to improve efficiency. Responsibilities include leading small to large-scale projects and assisting other project managers on complex interdepartmental projects related to organizational operational functions affecting team members and providers.

Our ideal candidate:

• Demonstrates up-to-date expertise in Information Systems database analysis, applying this knowledge to develop, implement, and improve action plans by providing advice and guidance on information and best practices. Skills in project management methodology and database design are preferred.
• Identifies, creates, and facilitates process design changes by conducting complex business and systems process analysis and design. Focuses on quality improvement and data management, ensuring data reliability and validity. Develops process improvements or re-engineers and recommends elimination. Integrates new systems and processes with existing ones. Partners with internal/external customers to ensure systems meet long-term business strategies.
• Provides project-level analysis, producing documentation such as business requirements, scope matrix, use cases, sequence diagrams, future state proposals, and UAT plans.
• Collaborates with developers to implement requirements, providing guidance during quality assurance and UAT processes.

We are open to remote out-of-state work in any of our approved states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• Bachelor’s degree required; Master’s degree preferred.
• Four (4) years of business analysis and/or business systems analysis project coordination experience required. A Master’s degree in a related field may substitute for two (2) years of experience.
• Experience working on large-scale projects and handling operational requests from the business required.
• Advanced experience and/or training in SQL and Microsoft Excel required.
• Health Plan or health system experience preferred.
• Knowledge of Utilization Management processes and workflows strongly preferred.

KNOWLEDGE/SKILLS/ABILITIES

• Effective communication skills for group presentations, discussing issues tactfully, and understanding concepts, rules, and procedures. Ability to work with all organizational levels, facilitate communication, and document activities effectively.
• Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and implement solutions.

PHYSICAL DEMANDS

• Rarely (1-10%), Occasionally (11-33%), Frequently (34-66%), Continually (67-100%)
• Activities include climbing stairs, lifting (up to 20 lbs), bending, kneeling, standing, walking, rotating trunk, reaching, pushing, pulling, sitting, manual and finger dexterity, grasping, and pinching.