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Technical Business Analyst

Company: Beacon Healthcare Systems, Inc.
Location: Huntington Beach
Posted on: January 13, 2022

Job Description:

Technical Business Analyst - -
POSITION SUMMARY -Beacon develops and markets software solutions used by health plans (Blue Cross, Blue Shield, etc.) who serve Medicare / Medicare Advantage members (consumers). - This software helps the health plans track and manage many situations that arise as they treat and serve their members. -The Technical Business Analyst (BA) - IT is a liaison between the IT teams and internal business teams with responsibility for gathering and defining requirements, coordinating design sessions, creating process/data flow diagrams, generating reports, monitoring budgets and documenting project efforts. The BA will also support the implementation of the enterprise service request processes and continue monitoring new project requests and enhancements; assists in identifying and resolving barriers/challenges and evaluating or reevaluating products, services and vendors. -
RESPONSIBILITIES: -

  • Lead process design and improvement projects -
  • Design, document and create business and technical requirements for development/engineering -
  • Identify process improvement opportunities and propose solutions using principles of process excellence and related tools -
  • Create, analyze, and summarize ad - hoc and / or recurring reports -
  • Research and analyze data sets and mapping for API's, data integration -
  • Assess reporting results through data investigation, analysis, trending, and evaluation -
  • Assume responsibility for data integrity and ongoing quality control of delivered reports -
  • Determine risk assessments -
  • Drive the development and deployment of complex business improvement solutions using principles of process excellence -
  • Support process enhancement initiatives for audit teams -
    QUALIFICATIONS, EDUCATION & EXPERIENCE: -
    • Bachelor's degree - -
    • Experience with project management, product management in SAAS software especially EDI / API - -
    • 2+ years' experience in a Business Analyst role - -
    • 2+ years of experience with documenting processes and practices, while effectively prioritizing multiple tasks, priorities, projects and deadlines -
    • Ability to develop and maintain business and technical requirements and documentation -
    • Software experience required -
    • Health care industry experience a preferred -
    • Team lead or project lead experience -
    • Quality Auditing experience preferred -
    • Possess and display sound judgment; initiative; flexibility and detail-orientation -
    • Ability to adapt to new technologies and rapidly changing environments -
    • Ability to support interfaces with multiple systems -
    • Experience working in complex, matrixed environments -
    • Experience interacting with and managing SaaS solutions and external vendors -
      ---PERSONAL CHARACTERISTICS & TRAITS: -
      • The ability to work effectively individually and as part of a team. -
      • Strong organizational skills and ability to prioritize tasks with little supervision. -
      • Strong analytical and logical problem-solving skills -
      • Ability to identify a problems root cause and drive to resolution. - -About Beacon Healthcare Systems, Inc. -Beacon is your trusted partner for health plan appeals, grievances, compliance, and analytics. -In today's healthcare environment, you need a partner you can trust to help manage your compliance and risk ensuring your business is always audit-ready. Beacon offers extensive experience in health plan technology, operations, IT, compliance and product development alongside best-in-class technology---and subject matter expertise deliver superior results and products. We understand what you need because we've been there before ourselves. -Beacon develops secure (HIPAA HiTrust) cloud-based solutions that enable health plans to manage Compliance, A&G and UM (Reconciliation and Enrollment coming soon). - Our solutions impact operating costs so health plans can do more with the same size team, quickly get through CMS audits successfully (ODAG/CDAG reports) and improve Star Ratings. Health plan CFOs, COOs, Operations VPs and their teams love us for all those reasons. -Come bring your passion, experience and expertise and impact the future of healthcare! - - -

Keywords: Beacon Healthcare Systems, Inc., Huntington Beach , Technical Business Analyst, IT / Software / Systems , Huntington Beach, California

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