Operations Technical Business Analyst III (CPC/Claims Editing System is a must) SQL nice to have)

Job Summary:

The Operations Technical Business Analyst III is responsible to understand the stakeholder’s business culture and priorities to effective identify business problems, assess proposed solutions, and represent the needs of stakeholders.

Essential Functions:

• Excel in all areas of requirements analysis, leveraging appropriate company and industry approaches and modeling techniques to gather requirements, document them according to corporate standards and procedures, and prioritize them for assigned areas
• Maintain the group focus, lead meetings toward stated goals and manage the group dynamics in facilitating requirements gathering and review sessions, including writing Agile epics and user stories
• Build, sustain, and leverage professional business relationships when gathering, validating and approving requirements
• Remain impartial in requirements discussions and confirm understanding by all parties involved when validating requirements
• Recognize inconsistencies and gaps in a complex business process
• Maintain requirements traceability throughout the project’s 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
• Mentor other team members
• Assist the project manager in developing the requirements phase plan
• 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 estimating the impact of change requests on timelines, budgets, resources and project scope
• Perform any other duties, as may be requested

Education and Experience:

• Bachelor’s degree in Computer Science, Information Systems, Business Administration or related field or equivalent years of relevant experience is required
• Minimum of five (5) years of experience in requirements management is required
• Minimum of two (2) years of healthcare delivery and/or payer experience is preferred
• Familiarity of the healthcare payer industry and knowledge of Medicaid and Medicare a plus

Competencies, Knowledge and Skills:

• Proficient in Microsoft Office tools, including Word, and Excel
• Extensive knowledge of IT development cycle and Agile Framework
• Demonstrates excellent analysis, reporting and SQL skills
• Extensive understanding of business analysis principles, process, and applications/elicitation tools used for managing requirements
• Deep understanding of a project lifecycle, including processes, techniques and tools
• Strong interpersonal and proven ability to establish effective working relationships with stakeholders at all levels
• Exceptional written and verbal communication skills
• Ability to work independently and within a team environment
• Effective listening and critical thinking skills
• Ability to coordinate and lead cross-functional teams
• Extensive experience working on multiple projects
• Effective decision making and problem solving skills with close attention to detail
• Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
• Ability to multi-task and remain flexible during organizational and/or business changes
• Customer service oriented

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business