Senior Technical Business Analyst

Optomi; Rosemont (IL); On-site; USD 100,000 - 130,000; Full time

Job summary

An innovative and rapidly growing company seeks a Senior Technical Business Analyst to optimize claims processes in the health insurance sector. This role offers a unique opportunity to lead projects that enhance operational efficiency while working with a diverse team of professionals. The ideal candidate will possess strong analytical skills and a solid background in business analysis, particularly within Agile environments. Join a forward-thinking organization that values growth and leadership, and make a significant impact in the healthcare industry.

Benefits

Medical insurance

Vision insurance

401(k)

Competitive compensation

Growth opportunities

Qualifications

• 7+ years of experience in Business Analysis or IT roles.
• Strong SQL knowledge and experience with data management.
• Experience leading Agile ceremonies and working with IT teams.

Responsibilities

• Develop strategies to improve claims processing accuracy.
• Collaborate with IT to translate business needs into specifications.
• Analyze claims data to identify trends for process improvements.

Skills

Business Analysis

Analytical Skills

Communication Skills

SQL

Agile Methodologies

EDI File Formats

Microsoft Office

Data Management

Education

BA / BS in IT or related field

Tools

Azure DevOps

Visio

Job description

1 week ago Be among the first 25 applicants

Direct message the job poster from Optomi

Optomi, in partnership with an innovative and fast-growing software company within the industrial industry, is seeking an experienced Senior Technical Business Analyst for their Rosemont, IL location! This Senior Technical Business Analyst will lead the analysis and optimization of claims processes within the health insurance industry.

What the right Candidate will enjoy:

• Competitive compensation!
• Large clientele with large budget projects!
• Opportunity for growth within a fast-growing company!
• Provide excellent leadership!
• Working at a innovate company!

Experience of the right candidate:

• 7+ years of prior experience as a Business Analyst or other IT role, such as support or development.
• BA / BS in IT, statistics, computer science, mathematics, information management, or a related field or equivalent experience.
• Strong investigative, analytical skills.
• Interpersonal communication skills with the ability to work independently or as part of a team with both the Business and technology staff.
• Skilled at defining and documenting business and functional requirements for ongoing system enhancement initiatives in agile software development environments.
• Experience writing clear acceptance criteria to a testable level.
• Experience with EDI file formats and other proprietary data exchange formats.
• Experience leading or participating in all Agile meetings including: sprint planning, sprint grooming, review, demo, stand-up, and retrospective sessions.
• Experience in all phases of product, software, and testing lifecycles.
• Clear and concise verbal and written communication skills.
• Curious, self-motivated, independent.
• Microsoft Office experience: Word for documentation, Excel for data handling, excellent skills with Visio for diagrams, PowerPoint for presentation and Outlook for email.
• Firm understanding of relational databases, database structures and design, and data management.
• Solid SQL knowledge, experience writing investigative queries, firm understanding of joins.
• 3+ years of experience in healthcare and or with claims adjustment software.
• 3+ years of experience with Facets.

Responsibilities of the right candidate:

• Develop strategies to meet first pass resolution benchmarks and improve claims processing accuracy.
• Collaborate with IT teams to translate business needs into functional specifications for system enhancements.
• Analyze claims data to identify trends and bottlenecks, providing actionable insights for process improvements.
• Lead elicitation and documentation of business requirements for claims transformation projects and system enhancements and for Facets configurations for accurate claims adjudication.
• Ensure technical solutions align with business goals and regulatory requirements.
• Collaborate with compliance teams to audit processes and develop risk mitigation strategies.
• Lead Agile ceremonies and use Azure DevOps (ADO) to manage backlogs, sprints, and work item tracking.
• Gather information to prioritize user stories related to claims enhancements and system configurations with steering committee and teams.
• Act as the primary liaison between business units, IT teams, and leadership to align goals and initiatives.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Analyst

• Industries

  Hospitals and Health Care, Non-profit Organizations, and IT Services and IT Consulting

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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