Business Analyst
Company Name:
PacificSource Health Plans
Collaboratively develop solutions to departmental strategic and operational requirements. Understand core departmental business functions. Work with business clients to select, configure, and deploy systems. Engineer efficient processes. Create documents and specifications. Develop and manage project plans using industry-standard tools and approaches. Design, encode, test, and maintain format, content, and data in assigned systems.
1. Analyze existing and proposed system options. Work with business clients to help select vendors and packages.
2. Manage end-to-end projects and tasks within projects. Use project management tools to provide predictable results and visibility to stakeholders.
3. Learn and understand existing business processes. Determine opportunities for operational improvement and support of strategic goals. Champion change according to company directives. Support data quality improvement initiatives.
4. Interpret existing and new policy, benefit, and contract provisions for use with systems.
5. Maintain document format and content in assigned systems. Prepare flowcharts and diagrams to illustrate sequence of steps and to describe logical operations involved.
6. Act as liaison with vendors in coordinating output of printed material as needed.
7. Work with software developers to create high-quality documents to be delivered to external customers.
8. Diagnose and resolve system and data problems. Work closely with other IT staff to accept electronic data and generate digital documents that can be printed or displayed in a web environment.
9. Document business requirements and configuration approaches for assigned systems.
10. Use queries and reporting tools to gather and understand information. Assist users in creation of reports and documents.
11. Develop QA tests and manages QA / testing efforts for projects.
12. Train users in technical aspects of systems and processes.
13. Participate in special projects and committees and perform other duties as assigned.
Supporting
Responsibilities:
1. Meet department and company performance and attendance expectations.
2. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
3. Perform other duties as assigned.
Work
Experience: Project management experience in a complex environment, such as health plans. Knowledge of benefits, documentation, contracts, coding, claims, and other healthcare concepts. Business analysis experience. Experience with Document management systems, for example HP Exstream.
Education, Certificates, Licenses: BS, BA, or equivalent well-rounded education and experience.
Knowledge: Experience with relevant tools such as MS Excel, Project, and Visio. Experience using Visual Basic and SQL, and skills coding in C+
desired. Experience working in teams with other systems analysts, programmers, business clients, and managers. Working knowledge of document management systems, for example HP Exstream/ Dialogue a plus. Excellent knowledge of database structure required; familiarity with image and relational databases preferred. Ability to identify techniques and develop standardized work methods to expand system usage. Ability to work across business and system groups at all levels.
Competencies
Our Values
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Work Standards
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for our customers' experience.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource Health Plans is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, age. Estimated Salary: $20 to $28 per hour based on qualifications.
PacificSource Health Plans
Collaboratively develop solutions to departmental strategic and operational requirements. Understand core departmental business functions. Work with business clients to select, configure, and deploy systems. Engineer efficient processes. Create documents and specifications. Develop and manage project plans using industry-standard tools and approaches. Design, encode, test, and maintain format, content, and data in assigned systems.
1. Analyze existing and proposed system options. Work with business clients to help select vendors and packages.
2. Manage end-to-end projects and tasks within projects. Use project management tools to provide predictable results and visibility to stakeholders.
3. Learn and understand existing business processes. Determine opportunities for operational improvement and support of strategic goals. Champion change according to company directives. Support data quality improvement initiatives.
4. Interpret existing and new policy, benefit, and contract provisions for use with systems.
5. Maintain document format and content in assigned systems. Prepare flowcharts and diagrams to illustrate sequence of steps and to describe logical operations involved.
6. Act as liaison with vendors in coordinating output of printed material as needed.
7. Work with software developers to create high-quality documents to be delivered to external customers.
8. Diagnose and resolve system and data problems. Work closely with other IT staff to accept electronic data and generate digital documents that can be printed or displayed in a web environment.
9. Document business requirements and configuration approaches for assigned systems.
10. Use queries and reporting tools to gather and understand information. Assist users in creation of reports and documents.
11. Develop QA tests and manages QA / testing efforts for projects.
12. Train users in technical aspects of systems and processes.
13. Participate in special projects and committees and perform other duties as assigned.
Supporting
Responsibilities:
1. Meet department and company performance and attendance expectations.
2. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
3. Perform other duties as assigned.
Work
Experience: Project management experience in a complex environment, such as health plans. Knowledge of benefits, documentation, contracts, coding, claims, and other healthcare concepts. Business analysis experience. Experience with Document management systems, for example HP Exstream.
Education, Certificates, Licenses: BS, BA, or equivalent well-rounded education and experience.
Knowledge: Experience with relevant tools such as MS Excel, Project, and Visio. Experience using Visual Basic and SQL, and skills coding in C+
desired. Experience working in teams with other systems analysts, programmers, business clients, and managers. Working knowledge of document management systems, for example HP Exstream/ Dialogue a plus. Excellent knowledge of database structure required; familiarity with image and relational databases preferred. Ability to identify techniques and develop standardized work methods to expand system usage. Ability to work across business and system groups at all levels.
Competencies
Our Values
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Work Standards
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for our customers' experience.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource Health Plans is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, age. Estimated Salary: $20 to $28 per hour based on qualifications.
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