Senior Business Analyst

ICONMA is a health insurance company looking for a Senior Business Analyst for their remote location. The role involves ensuring that business needs for changes to processes and systems are identified and documented, while serving as a strategic conduit between business areas and technical teams.

Responsibilities:

• The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow
• 20% Interprets business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the Business area’s user and/or technical (functional/non-functional) requirements. Collaborates in the creation of project plans to define, organize and schedule requirements management and development activities. Facilitates requirements analysis and verification sessions. Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements
• 20% Responsible for the overall success of user acceptance testing, including documentation, verification and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Leads in creating formal communication to be delivered to relevant stakeholders. Provides guidance and training to application end users
• 20% Identifies, documents and troubleshoots problems utilizing acquired experience and knowledge of the relationships in systems, software and processes. Collaborate with appropriate stakeholders to monitor, report and resolve issues. Participates in the development of solutions and workarounds that solve moderate to high complexity technical, system and/or business issues
• 20% Reviews, analyzes and creates detailed documentation of business systems, processes, software and user needs. Responsible for the written documentation of requirements in accordance with established standards, in a clear and well organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of moderate to high complexity
• 10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests
• 10% Answers policy-related questions for business process, systems and software which require research and consultation with others internally and externally

Requirements:

• Bachelor's Degree
• Business, Information Technology, Computer Science or related field
• 5 years progressive experience in business analysis, systems analysis, testing or other analytical experience
• In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
• Demonstrated ability to deliver high quality, effective deliverables on-time and be a significant contributor to the development of cost-effective solutions
• Proven understanding of business analysis core competencies
• High-level of knowledge and understanding of business products and services, Advanced
• Microsoft Office applications usage, Advanced
• Excellent communication skills both written and verbal, Advanced
• Ability to analyze, organize, and prioritize work while meeting multiple deadlines, Advanced
• The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on client programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
• Prior experience with UM, CM, Clinical Operations
• Prior configuration experience with Guiding Care (GC) Medical Management platform
• Prior experience integrating with a DTR platform – MCG or InterQual
• Prior experience with clinical test data creation
• Familiarity with CMS-0057 F requirements
• Excellent communication and presentation skills for a multi-party project environment
• Excellent team building skills