Business Systems Analyst 3 - Revenue Cycle Management

Ben Lomond

The Business Analyst III assists the R&D staff in understanding the organization’s operational needs for both automated and manual solutions to business systems and procedures of diverse scope. The Business Analyst is involved in planning, organizing and conducting detailed analytical studies to define problems, identify deficiencies and improve solutions which impact the enterprise’s effectiveness, and provide the basis for issue resolution. The Business Analyst is responsible for executing the system definition and design processes within the Software Development Life Cycle (SDLC). They collaborate with users to define business requirements for system enhancements and new functionalities to achieve process improvements. What will I be responsible for in this job? (brief summary of the role) Under general supervision: Conducts interviews to gather new requirements autonomously; employs facilitation techniques as needed to discuss requirements with clients and users; uses specific group and collaborative methods for collecting requirements Works with internal personnel and external payer contacts to establish new real time electronic connections for the transmittal of electronic eligibility, claim status and prior authorization transactions For moderately complex requests/projects, leads or performs analysis of business and user needs, constructs requirements documentation, translates requirements into proper system requirement specifications, and reviews requirements and specifications with internal and external stakeholders Defines quality attributes and/or develops basic test scenarios to support unit and functional testing Communicate the business directives, goals and needs to the technical team and serve as business interface from the enterprise’s operational management team managing expectations and defining business satisfaction metrics Understands legal aspects of information systems, i.e. HIPAA, SOX, PHI, Medicare Fraud, Waste, and Abuse Applies general industry and regulatory compliance knowledge to the benefit of the business As directed, the BA will participate in an agile development team, ensuring features and functionality requested by users align with business goals for the product, particularly as goals and products evolve over time, as well as ensuring the right information is available to the engineering teams, with the right amount of detail, and at the right time Conducts requirements peer reviews; evaluating clarity, conciseness, comprehensiveness, and appropriateness of specifications Recognizes and identifies potential areas where existing business services policies and procedures require change, or where new ones need to be developed and makes recommendations in these areas Guides the design, development and documentation of system process workflows and various implementation activities that deliver business solutions required of the business Assists the organization’s business operations staff in developing content or other materials Recognizes, manages, or fulfils urgent or escalated issues What are the requirements? • Years of experience: 5+ years of professional experience in a technical and analytical, preferably healthcare, role • Education: Bachelor's degree in Computer Science or equivalent • Physical requirements: General office work What critical skills are needed for you to consider someone for this position? Strong understanding and breadth of experience with technical systems Ability to identify and understand the business problem and the impact of the proposed solution on the operations of the organization Strong understanding and broad range of experience with programming and database languages Strong organizational and project management skills Ability to interact with internal staff at all levels Excellent oral and written skills in order to effectively communicate with customers and internal staff Strong understanding of the healthcare industry and the information exchange between providers, clearinghouses, payers and employers Strong understanding of real time ANSI transactions for healthcare eligibility, claim status and prior authorization Ability to develop and deliver presentation materials Ability to field questions in an open forum or presentation Ability to formulate and define systems scope and objectives through research and due diligence Ability to responsibly manage time What other skills/experience would be helpful to have? How much should I expect to travel? Less than 10% Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement. #li-remote Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Suppleme.... If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted. Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information. Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. ]]]]>

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