Navitus Health Solutions · 3 days ago

Sr. Business Analyst, Government Programs

United States

Full-time

Remote

Senior Level

$78K/yr - $95K/yr

5+ years exp

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Responsibilities

Becomes the Subject Matter Expert (SME) on all assigned processes

Mentors Technical Operations Staff by training on eliciting and writing business requirements, testing techniques, interpreting guidance, implementing process improvements, managing a project, and the full Software Development Life Cycle (SDLC)

Volunteers to take on projects outside of their assigned processes to help other Business Analysts as needed.

Demonstrates leadership within Technical Operations and/or Government Programs

Leads the Process Oversight Meetings to ensure process compliance and reliability for all assigned processes as Process Owner. Is a self-directed informal leader in ensuring appropriate action is taken through completion for process defects, non-compliance, and/or inefficiencies for assigned processes.

Ensures technical process supporting government programs has the appropriate controls and oversight reporting and compliance with regulatory requirements on the end-to-end process. If process controls are absent, the expectation is to identify, define, and implement new ones as needed.

Develops and maintains clear and concise documentation for all assigned processes using proficient Technical Writing skills. Maintains process support documentation that other stakeholders may utilize to understand the complex processes that make up the department.

Identifies and documents business requirements for new Technical Operations processes and services, and changes to existing Technical Operations processes and services, as needed, to achieve department business goals.

Identifies and manage changes to existing Technical Operations processes. This includes Scope Definition, Business Requirements, User Acceptance Testing, and Implementation.

Establishes processes that are scalable and efficient and ensure smooth transition to operational maintenance by the Technical Operations Coordinators. Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective. Provides SME assistance when process metrics indicate possible risk to compliance or accuracy and leads any corrective action required once diagnosed.

Seeks opportunities to initiate and manage projects to improve existing processes delivering enhanced quality and efficiency.

FFS roles will be required to perform system demonstrations and contribute to RFP activities.

Qualification

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Business AnalysisProject ManagementBusiness RequirementsTestingProcess ImprovementNCPDPClaims ExperienceComplianceProblem-SolvingLeadershipCommunication

Required

Bachelor’s degree in business related field; or equivalent combined education and experience required

5+ years’ experience as a Business Analyst. Seeking a candidate who has proven technical capabilities and has successfully lead projects, wrote business requirements, administered major testing efforts, and implemented numerous process improvements

FFS positions require NCPDP and prior claims experience

Participate in, adhere to, and support compliance program objectives

The ability to consistently interact cooperatively and respectfully with other employees