-This BA position is front-end and does not include back-end responsibilities like SQL querying. You are expected to build strong relationships with stakeholders and draw out process flows to present to the business, understanding the business flow from Step 1, all the way to in the hands of the State.
- This candidate is responsible to write epics and features to be passed off to a systems analyst who will write the user stories for the developers to code from.
- The company is anticipated to double in size over the next 3 years. There is a lot of opportunity and growth occurring, as well as re-evaluation of existing operations as the expand to new states. You will assist with new market implementation (how to perform the same functions in new places), market expansion and clinical capability enhancements like automation or reporting.
- There is still a start-up feel to the company. You have to be comfortable with change, ambiguity, and maturing processes/structure. A task may not be spelt out for you, but the ownness is on the candidate to own their work, take the bull by the horns and do what needs to be done, getting in front of issues by investigating what doesn't feel right, and working without oversight but raising a hand when there is a problem. Things move very fast, so this candidate must take the reins, be influential and drive things forward without instruction. You will work with a PO and PM, but it is on you to manage your own backlog, and to jump right in. There is no training. You must be able to look at a Sharepoint document and go off of it yourself, following the bread crumbs and asking the right questions. The business may not know what a process should look like/what they want, but you need to be to start a project without specifications and make sense of it (understanding, mapping it out, and figuring out the buckets. You will need to be able to conceptualize, organize and sequence a complicated topic, working with the business to chunk it out into logic and package it in epics and features that will also satisfy opinionated IT stakeholders. You will be getting your hands dirty, problem-solving for a grey space by making it black and white and getting everyone to agree on a structure/way forward by defining the big container, and all its pieces and parts.
Other Responsibilities include:
• The Business Analyst II is responsible for understanding the stakeholder's business rules, culture and priorities to effectively recognize inconsistencies and gaps in complex business processes, identify business problems, assess proposed solutions, and represent the needs of stakeholders
• Excel in all areas of requirements analysis, leveraging appropriate company and industry approaches and modeling techniques to facilitate requirements elicitations, and gathering requirements for projects in order to document them according to corporate standards and procedures, and prioritize them for assigned areas
• Provide guidance, recommendations, and mentor other business analysts on approach, guidance, and practices that improve delivery of business requirements and techniques
• Maintain the group focus, lead meetings toward stated goals and remains impartial in managing group dynamics toward the successful completion of requirements development and management including facilitation of requirements gathering, review, acceptance, prioritization, validation sessions, and decomposition of requirements into work efforts including writing Agile epics and user stories
• Build, sustain, and leverage professional business relationships when gathering, validating and approving requirements
• Demonstrate an understanding of stakeholders business culture and priorities, the ability to leverage different techniques used to elicit and capture requirements, EPMO standards for documentation, methods for analyzing and prioritizing requirements, and familiarity with tools enabling tracking and tracing requirements
• Proficient in all areas of requirements planning, development, and management including planning and monitoring, elicitation and collaboration, requirements lifecycle management, analysis, and validation of business requirements through development of user acceptance test scripts and scenarios
• Effectively document requirements in all phases of discover through validation; maintain requirements traceability throughout the project and requirements lifecycle
• Assist the development teams in understanding and elaborating requirements and transitioning them into a comprehensive solution
• Assist with the preparation and execution of User Acceptance Testing
• Assist the project manager in developing the requirements phase plan and develop the requirements management plan for area of immediate responsibility
• If assigned, work with business to develop a business case including return on investment, soft benefits and any regulatory issues
• Assist the project team in identifying and resolving scope, schedule, and resource issues
• Assist the project team in performing functional impact analysis and estimating the impact of change requests on timelines, budgets, resources and project scope
• Identify sources of requirements, possible interfaces and affected lines of business
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
[email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience• 3+ years of Business Analyst experience with business requirement architecture, eliciting and managing business requirements
• Ability to write epics, features/user stories, and requirements
• Agile/Scrum experience
• Generalized domain knowledge of the claims lifecycle (Encounters, Prior Authorization/Gold Carding, Eligibility/Benefits Verification, Claim Submission, Adjudication, Payment, Appeals/Grievances)
• Ability to map out a high level workflow from a stakeholder's concept, and then dig down (ex: business process modeling, process mapping, process flow diagrams, story boards, Visio flowcharts, prototyping)
• 3+ years of Managed Care experience with payers like Medicare/Medicaid/Dual Eligibility/D-SNP/Marketplace/Tricare
• Fearless and sharp communicator, comfortable jumping in without much oversight or hand-holding, dealing with difficult stakeholders, and working closely with executive leadership
• Intermediate proficiency with Microsoft Office Suite, including Visio, as well as with a requirements management tool (Azure DevOps, Service Now, JIRA)
Nice to Have Skills & Experience• Trizetto Facets experience (understanding of the business side of the modules, not of the configuration)
• Agile Certifications such as IIBA, Six Sigma, or ITIL
• Knowledge of EDI/HIPAA files (834 enrollment, 837 claim, 835 payment, 270 eligibility etc)
• Understanding of CMS guidelines
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
