Drive implementation and coordinate projects involving medical policy transformation using multiple new systems.
Manage the increasing number and proliferating complexity of medical policy formats and versions using new tools.
Be the link between appropriate clinical policy content and the technical manifestation of digital policies for use access, ensuring version integrity on all platforms.
Manage FEP policy incorporation and code management in Coding and Medical Policy System (CAMPS) and export code list reports.
Partner with Payment Integrity and external vendors to manage Routine Test Management policy versions.
Partner with IT, other departments, and external vendors to ensure successful implementation and ongoing business and system support.
Ensure business requirements are met.
Maintain system training materials.
Monitor and report on system testing.
Generate and maintain reports on transformation activities, as needed.
Investigate system problems, process flow concerns, and new enhancements.
Provide recommendations for improvement based on system knowledge.

Bachelor’s degree or four (4) years’ work experience. (Required)
Two (2) years’ analytical experience in a technical or business environment, which includes:
One (1) year performing business analysis functions (gathering business requirements, documenting process/data flows, or performing gap analyses). (Required)
Previous AI/Automation project experience. (Preferred)
Exposure with Lean methodology or Six Sigma. (Preferred)
Extensive Project Management experience. (Preferred)
Experience with Microsoft Project, Visio, or SharePoint. (Preferred)
Experience in healthcare or other regulated industries. (Preferred)
Exposure in a project environment that uses an Agile methodology. (Preferred)
Demonstrated ability to aggregate and summarize disparate information, requirements, and/or data in a coherent manner.
Experience in applying analytical, problem solving and/or technical abilities to daily responsibilities.
Effective communication skills both verbally and in writing.
Effective interpersonal and presentation skills.
Demonstrated experience working on multiple concurrent tasks while meeting deadlines.
Experience in facilitating small group meetings and/or individual sessions to effectively meet the established objectives.
Proven ability to work both independently and as a member of a team.
Experience establishing and maintaining effective work relationships.
Demonstrated proficiency in Microsoft Word, Excel, and Outlook and process flow/modeling software.

Medical, vision, and dental coverage with low employee premiums.
Voluntary benefit offerings, including pet insurance for paw parents.
Life and disability insurance.
Retirement programs, including a 401K employer match and pension plan vested after 3 years of service.
Wellness incentives with mental well-being resources, including counseling services and mindfulness programs.
Generous paid time off.
Tuition assistance for both undergraduate and graduate degrees.
Employee recognition program to celebrate anniversaries and team accomplishments.
On-campus model providing flexibility with access to on-site resources and networking opportunities.
Commuter perks and free on-site parking.
Subsidized on-campus cafes.
Engaging on-site activities such as health and wellness events and coffee connects.
Fitness & well-being center offering in-person and virtual workouts and nutritional counseling.

Business Analyst II

Key skills