Business Analyst III - Must have Claims/Encounters experience

Job Summary:

The Business Analyst III plays a critical role in bridging the gap between business needs and technology solutions within the organization. This position involves participating on complex projects, collaborating with cross-functional teams, and providing insights to drive business improvements. The ideal candidate is a seasoned professional with strong analytical skills, a proven track record of successful requirements delivery, and the ability to influence stakeholders at all levels.

Key Responsibilities:

• Lead collaboration efforts with stakeholders to identify business needs, gather requirements, and document actionable insights that align with organizational goals.
• Review project artifacts, including Business Cases and contracts, to ensure alignment with business objectives and requirements.
• Facilitate requirements elicitation sessions and participate in Feature refinement sessions to gather and document comprehensive requirements.
• Create, maintain, and align Features in ADO, ensuring proper tracking and organization through Parent/Child relationships and related links.
• Develop supporting diagrams, such as process flows and context diagrams, and assist the Business Owner with current or future state process flows.
• Ensure smooth transition and alignment with the Product Owner for features that are refinement ready.
• Utilize advanced modeling techniques to facilitate the elicitation and gathering of requirements for complex projects, ensuring thorough documentation and traceability.
• Recommend process improvement solutions that increase efficiency, reduce costs, and improve service delivery.
• Provide guidance and mentorship to junior analysts, fostering a culture of continuous improvement and knowledge sharing within the team.
• Work closely with IT, product owners, business stakeholders, and other departments to ensure clear alignment and understanding of requirements, facilitating communication and collaboration across teams.
• Take action on insights from dashboard and metric analysis to correct data and optimize business processes.
• Provide input on project status reports related to requirements and change control to the Program/Project Manager.
• Partner with Program/Project Manager to deliver Epics and Features to meet milestone dates.
• Partner with BA IV, Product Owner, BA Manager, and/or Program/Project Manager in resolving escalated items and escalate issues, risks, or blocked features.
• Prepare and present comprehensive reports, including findings, recommendations, and progress updates, to senior leadership and stakeholders as requested.

Education and Experience:

• Bachelor’s degree or equivalent years of relevant experience is required
• Master’s degree is preferred
• A minimum of five (5) years of experience in requirements management is required
• Healthcare delivery and/or payer industry experience is preferred

Competencies, Knowledge and Skills:

• Proficient in Microsoft Office tools, including Outlook, Excel, Word, Visio
• Experience working with Azure DevOps, Service Now, JIRA, Modern Requirements, or equivalent suite of business requirements management tools and software development processes, including hybrid/agile, is preferred
• Demonstrates applicable practical and experiential knowledge
• Demonstrates fundamental awareness and understanding of basic business analysis skills and knowledge

• Knowledge of IT development cycle and Agile Framework
• Thorough understanding of business analysis principles, process, and applications/elicitation tools used for managing requirements
• Thorough understanding of a project lifecycle, including processes, techniques and tools
• Strong interpersonal and proven ability to establish effective working relationships with stakeholders at all levels
• Excellent written and verbal communication skills
• Ability to work independently and within a team environment
• Effective listening and critical thinking skills
• Effective problem-solving skills with attention to detail
• Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
• Ability to multi-task and remain flexible during organizational and/or business changes
• Customer service oriented
• Familiarity of the healthcare payer industry and knowledge of Medicaid, Medicare, and Marketplace is preferred
• Familiarity of the healthcare payer industry and knowledge of Mergers and Acquisitions is preferred

Licensure and Certification:

• IIBA, Six Sigma, ITIL, and/or Agile, Lean, SAFe Certifications preferred

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business