Senior Business Analyst (Billing)

AF - Group; United States; On-site; USD 64,000 - 147,000; Full time

Job summary

Accident Fund Insurance Company of America is seeking a Senior Business Analyst to document and validate business requirements before implementation. You will translate requirements into functional specs, coordinate with stakeholders, and maintain project documentation throughout the development life cycle.

Strong experience in healthcare or health insurance, plus proficiency with BI reporting, ETL platforms, and data modeling, is essential.

Qualifications

• Bachelor’s degree in a related field; continuous learning and professional development encouraged.
• Five years of relevant experience as a business analyst in healthcare or health insurance.
• Experience with BI reporting systems, ETL tools, and data modeling.

Responsibilities

• Document business requirements and ensure all functional considerations are captured before implementation.
• Coordinate with stakeholders to define go-live activities and track project timelines.
• Develop functional specifications, translate requirements into architecture and test plans.
• Lead client interactions to gather requirements and align on solutions.
• Create and maintain project documentation in Confluence.

Skills

Requirements gathering

Stakeholder management

Project management

Analytical thinking

Communication

Problem solving

Independent thinking

Data analysis

Business process

Presentation

Education

Bachelor’s degree in a related field

Certification or progress toward certification

Tools

VISIO

BI reporting systems

ETL data integration platforms

Data modeling tools

Job description

Job Description

• Ensures delivery according to project timelines. Coordinates with stakeholders to define go-live activities. Tracks progress performs follow-up communication, and documents resolutions to maintain project timelines. Analyzes possible impacts to the schedule for requested changes and makes updates as needed to the project timeline within reason.
• Develops and executes presentations. Prepares and documents workgroup meetings and presentations. Facilitates meetings (in person and online) and conference calls to orient new clients, collaborate with internal and external stakeholders, and address concerns.
• Works with the project manager to manage the project plan. Provides tasks, dates, and resource responsibilities based on the scope of the project. Provides statuses to work in progress and completed tasks.
• Creates functional specifications. Collects, understands, and transmits business requirements for projects and translates into functional specifications, database designs, and detailed test plans.
• Works with client to understand requirements. Partners with clients to gather all requirements to formulate business process specifications and translate those into application and/or operational functionality, understanding the value proposition(s) of the project and deciding when to advocate and when to compromise to arrive at mutually acceptable solutions.
• Works with technical staff to translate requirements. Assists the technical team in translating application functionality into application architecture and the production of system functionality documents. Communicates business directives, goals, and needs to the technical team and serve as a client interface for managing user expectations and client satisfaction.
• Works with operational business staff to translate requirements. Assists the operations team(s) in updating documentation and processes to accommodate the products offered. Communicates business directives, goals, and needs to the business team and serves as a client interface for managing user expectations and client satisfaction.
• Creates and/or updates project documentation. Documents objectives, decisions, accomplishments, and deliverables for the work stream. Places documentation on the internal storage mechanism (Confluence) to provide a written account of the project activities.
• Represents the business and/or project as the subject matter expert in the designated work stream.
• Manages projects and processes as required.
• Works with product team to stay abreast of overall product strategy, roadmap(s), and release management processes.

Job Description

The Senior Business Analyst is responsible for ensuring that business requirements are documented, and every functional/business consideration is identified before implementing each project. This position must clearly understand and review/confirm with the client and internal departments before functional requirements are finalized - alternative approaches are suggested where viable. The Senior Business Analyst is also responsible for functional requirements that are completely documented and understood, along with innovative solutions with best practices identified and explored for most prevalent use cases. Consultant to business units and technical teams for detailed data availability, location, lineage, and quality.

Works within the Development Life Cycle

• Ensures delivery according to project timelines. Coordinates with stakeholders to define go-live activities. Tracks progress performs follow-up communication, and documents resolutions to maintain project timelines. Analyzes possible impacts to the schedule for requested changes and makes updates as needed to the project timeline within reason.
• Develops and executes presentations. Prepares and documents workgroup meetings and presentations. Facilitates meetings (in person and online) and conference calls to orient new clients, collaborate with internal and external stakeholders, and address concerns.
• Works with the project manager to manage the project plan. Provides tasks, dates, and resource responsibilities based on the scope of the project. Provides statuses to work in progress and completed tasks.
• Creates functional specifications. Collects, understands, and transmits business requirements for projects and translates into functional specifications, database designs, and detailed test plans.
• Works with client to understand requirements. Partners with clients to gather all requirements to formulate business process specifications and translate those into application and/or operational functionality, understanding the value proposition(s) of the project and deciding when to advocate and when to compromise to arrive at mutually acceptable solutions.
• Works with technical staff to translate requirements. Assists the technical team in translating application functionality into application architecture and the production of system functionality documents. Communicates business directives, goals, and needs to the technical team and serve as a client interface for managing user expectations and client satisfaction.
• Works with operational business staff to translate requirements. Assists the operations team(s) in updating documentation and processes to accommodate the products offered. Communicates business directives, goals, and needs to the business team and serves as a client interface for managing user expectations and client satisfaction.
• Manages development life cycle.
• Creates and/or updates project documentation. Documents objectives, decisions, accomplishments, and deliverables for the work stream. Places documentation on the internal storage mechanism (Confluence) to provide a written account of the project activities.
• Represents the business and/or project as the subject matter expert in the designated work stream.
• Manages projects and processes as required.
• Works with product team to stay abreast of overall product strategy, roadmap(s), and release management processes.

EDUCATION

• Bachelor’s degree in a related field.
• Relevant combination of education and experience may be considered in lieu of degree.
• Continuous learning, as defined by the Company’s learning philosophy, is required.
• Certification or progress toward certification is highly preferred and encouraged.

Experience

• Five years of relevant experience as a business analyst in healthcare or health insurance, Medicare, and commercial business lines, or related industry.

Qualifications

• Ability to manage multiple assignments and implement projects.
• Demonstrated excellence in a rapid environment, with the ability to gather requirements, communicate product design requirements, and achieve high-quality results within specified timeframes.
• Knowledge of, and the ability to apply, necessary software development practices and procedures.
• Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts and draw valid conclusions.
• Ability to comprehend the consequences of various problem situations and to refer them for appropriate decision making.
• Ability to design program logic, prepares test data, and test programs.
• Ability to review business requirements and compare to application for possible deviations from customer expectations.
• Excellent triage, troubleshooting and problem-solving skills.
• Experience working with multi-functional teams to perform complex data analysis, data mapping and support a variety of business intelligence, reporting, analytical and data visualization needs.
• Ability to make competent, independent decisions.
• Experience working with mainstream BI reporting systems, ETL data integration platforms, and data modeling tools.
• Thorough understanding of and ability to demonstrate the operational services.
• Ability to create data flow diagrams and data models, including use case, activity, and workflow diagrams using VISIO.
• Ability to convey pertinent information to operational and technical teams.
• Strong presentation and analytical/problem-solving skills
• Ability to work in both a structured and unstructured environment.
• Ability to support projects using a variety of project management methodologies (bimodal)
• Ability to learn how to define all levels of business and technology requirements.
• Strong communication and negotiation skills.
• Ability to work with and empower others on a collaborative basis to ensure success of unit team.

Working Conditions

Work is performed in an office or work from home setting with no unusual hazards. Minimal travel is required.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

Pay Range

“Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $64,00 and $147,250.”

We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

About The Team

Accident Fund Insurance Company of America