Business Analyst I

Cotiviti is a healthcare technology company, and they are seeking a Business Analyst I to support the Clinical Chart Validation Appeals team. The role involves identifying enhancements, implementing projects, and collaborating with business partners to improve productivity and quality in operations.

Responsibilities:

• Work closely with business partners to understand current operations and how current and future systems may improve productivity and quality
• Conduct analysis to determine the best approach for addressing business problems and opportunities, including process improvements, system enhancements, and improvements to CCV quality
• Apply and utilize business process modeling methods to ensure business outcome-based deliverables in a way that can be readily used as input to Product Delivery teams and executive decision-making by both line of business and IT partners
• Facilitate future-state process and visioning sessions with business partners
• Define measurable process improvement objectives and participate in grooming features sessions
• In collaboration with the Appeals Manager, define project requirements and actively support the implementation of process improvements
• Ensure product satisfies the customer/end-user requirements by actively representing the business users in product testing and evaluation through mapping product enhancement to business process change
• Translate business requirements into use cases and actionable deliverables
• Work with data teams to improve appeal reporting accuracy and usability
• Develop dashboards or reporting requirements for leadership
• Reduce manual steps and rework in appeal processing
• Improve intake, routing, and adjudication workflows
• Spot inconsistencies in appeal handling across teams
• Conduct ad hoc research and support special projects as assigned
• Complete all responsibilities as outlined in the annual performance review and/or goal setting
• Complete all special projects and other duties as assigned

Requirements:

• Bachelor's Degree required
• 5 years' experience with Business Process development
• Strong relationship-building skills and customer orientation
• Proven ability to collaborate with business partners to define needs, address issues and answer questions
• Ability to interact with business users in a sensitive and diplomatic manner while constructively challenging existing procedures and fostering collaboration on project goals
• Ability to translate complex business needs into clear, actionable solutions
• Consistent and effective critical thinking skills required
• Critical thinking and problem-solving skills with strong attention to detail
• Strong organizational skills with a commitment to thorough documentation
• Strong written and verbal communication skills with remote and international resources
• Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications
• Positive and helpful demeanor in interactions with all internal/external stakeholders
• Ability to manage multiple priorities, meet deadlines, and work with urgency
• Ability to maintain strict confidentiality in all communications involving sensitive information
• Self-driven and adaptable, with the ability to thrive in a fast-changing environment
• Must possess intermediate skills with MS Excel and Power BI and be proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)
• Ability to work effectively both independently and collaboratively within a matrixed, cross-functional environment
• Healthcare Systems and Operations experience preferred