Remote Senior Health Plan Business Analyst

Eliassen Group; Columbus (OH); A distancia; USD 48.000 - 55.000; Jornada completa

Descripción de la vacante

Eliassen Group is seeking a Sr Business Analyst to support a large health plan initiative in a remote, contract capacity. You will elicit, analyze, document, and manage requirements for changes to business processes, policies, and information systems for complex problems.

The role involves cross‑functional collaboration, ensuring traceability, driving readiness and training, and supporting post‑implementation reviews for healthcare plan operations including medical appeals and claims.

Formación

• 5+ years of related business analysis experience, or 7+ years without a degree.
• Experience in healthcare, health plan, insurance, or pharmaceutical domains.
• Hands-on exposure to medical appeals, claims, and large plan implementations.
• Strong communication and stakeholder management in high-pressure environments.
• Knowledge of data flow modeling, use-case analysis, workflow analysis, and related techniques.

Responsabilidades

• Elicit, analyze, document, and manage business and functional requirements for complex initiatives.
• Develop requirements approaches and management plans aligned to project plans.
• Communicate and validate requirements with stakeholders and subject matter experts.
• Maintain solution scope and requirements traceability throughout the project lifecycle.
• Drive business readiness activities, including communication planning for changes to technology, processes, and people.
• Support and coordinate training to ensure efficient implementations and desired outcomes.
• Develop procedures and specifications for systems or process changes and coordinate cross‑functional implementation.
• Design and conduct post‑implementation audits and implement customer feedback mechanisms.
• Analyze workflow processes, design and test solutions, and assess organizational impacts.
• Manage requirements change requests and maintain documentation.
• Develop and maintain reporting tools to measure performance and ensure data integrity.
• Present results and insights to business stakeholders and leadership.
• Identify business risks, recommend mitigation strategies, and escalation when necessary.
• Build and support vendor relationships and assist with training as needed.
• Provide oversight and peer reviews for less experienced analysts.

Conocimientos

Experience with business analysis

Healthcare domain experience

Strong communication

Stakeholder management

Data flow modeling

Use-case analysis

Workflow analysis

Business process mapping

Functional decomposition

ROI modeling

Educación

Bachelor's degree or advanced degree preferred

Descripción del empleo

Eliassen Group is seeking a Sr Business Analyst to support a large health plan initiative in a remote, contract capacity. You will elicit, analyze, document, and manage requirements for changes to business processes, policies, and information systems for complex problems.

The role involves cross‑functional collaboration, ensuring traceability, driving readiness and training, and supporting post‑implementation reviews for healthcare plan operations including medical appeals and claims.