Brighton Health Plan Solutions · 2 weeks ago
Business Analyst
Chapel Hill, NC
Full-time
Remote
Mid Level
4+ years exp
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Responsibilities
Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet project needs
Critically evaluate information gathered from multiple sources; reconcile conflicts; abstract up from low-level information to a general understanding; and distinguish requests from underlying true needs
Break down high level information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs
Analyze and document client's business requirements and processes; use and promote industry standard analysis techniques, such as data flow modeling, use-case analysis, workflow analysis, business process mapping,
Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications
Presenting concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards
Forwards functional specifications to digital team members for design and solution development
Work within timeline and resource constraints provided by the Project Manager
Partner with stakeholders on requirements prioritization, solution approach and alternatives, and manage requirements changes to ensure developed solution conforms to business needs
Proactively identify areas of potential business risk, on projects both within and outside of control, make recommendations related to mitigation and escalate as necessary
Collaborate with designers, product managers, solution architects and developers to translate business requirements into innovative digital solutions
Support User Experience (UX) design and partner with design leaders to create intuitive, user-centered interfaces that enhance the digital care, clinical, research and business experience
Actively participate in design, development and testing of products and solution lifecycles including development of wireframes, prototypes and user-testing
Produces business design document based on product and solution requirements
Support Quality Assurance (QA) Testing by developing test plans, test cases and acceptance criteria to validate digital solutions against business requirements and regulatory standards. Participate in QA testing activities, identify defects, and collaborate with teams to ensure timely resolution and delivery of high-quality products and solutions
Performs other related duties as assigned or requested
Qualification
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Required
A bachelor’s degree.
4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration
Good working knowledge of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder
Ability to adapt to a fast pace, changing environment and to handle changing priorities and deadlines
Skilled at persuasive written and verbal communications that drive action or set strategic direction
Proficient in Microsoft Office including Outlook, Excel, Visio, PowerPoint and Word
Knowledge of BA/ MS project Tools, JIRA, MS Project
Able to manage large scale initiatives
Skilled at large JAD type sessions and interviews and be able to document SMART requirements for consumption by technical teams
Need to have a commanding the room type personality to drive their work and facilitate conversations
Ability to manage multiple stakeholders from different business areas both technical and business
Familiar with assumptions, dependencies, defining what is in and out of scope
Preferred
BA Certifications and or PMP is a plus
Experience with SFTP, EDI X12 transactions 834, 837, 270/1 is a plus
Company
Brighton Health Plan Solutions
Brighton Health Plan Solutions is a health care company that specializes in health plan management service.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Jim Cusumano
Co-Founder, President and CEO
Recent News
Company data provided by crunchbase
