Business Systems Analyst lll

About us:

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief summary of purpose: 

A Business Systems Analyst III will work on projects that generally involve a complex scope. The BSA III is responsible for analyzing and documenting business requirements, documenting business workflow, developing file mapping and technical specifications, and working with business partners/stakeholders to determine priority of requirements. In addition, assesses system capabilities and interdependencies to define and document business solutions. Works collaboratively with the development team, provides complex technical guidance while applying effective design concepts. The BSA III proposes or seeks alternative solutions, when necessary, to ensure the proper balance between business and technical needs. 

Primary Job Responsibilities:

• Analyzes and provides high-level project scope for impact and feasibility within the defined time/cost constraints with minimal direction. Assist in the preparation of project scoping documents.
• Involved in determining appropriate approach (es) to the business analysis effort and in defining required outcomes/deliverables specific to the project.
• Elicits customers/stakeholders’ underlying business needs and concerns through standard methods (i.e., interviews, process workflows for desired state, etc.). Proficient in standard methods and approaches and applies methods and/or approaches as applicable.
• Facilitates and documents requirements gathering sessions (involving smaller number of participants) with business representatives/subject matter experts.
• Manages through conflicts and competing demands. Escalates to Project Manager, direct manager and other more senior colleagues to help resolve more difficult issues.
• Given proficient business acumen, formulates probing questions and shapes effective solutions to difficult problems. Solutions may have implications or impact milestones.
• Define and document business requirements clearly and with sufficient detail to enable customer to sign-off and support the completion of the Technical Design Document.
• Develops comprehensive use cases to support the solution development, validates use cases with the customer.
• Works collaboratively with Development Team to identify data requirements and mapping, establish practical and efficient design and testing approaches, providing suggestions and feedback as appropriate.
• Works collaboratively with the Design and Development Team during technical design, programming, and initial testing phases of projects. Collaborate with the business to develop the high-level testing plan based on documented requirements. Creates the comprehensive test plan and queries to be used for testing and documents the test results. Validates the output against the business requirements and identifies defects. Collaborates with the Development Team to understand the level of effort involved for each identified defect. Collaborates with the project team to prioritize and resolve defects.
• Create user and training guides.  Conduct training and information sessions for user groups as needed.

Education, Licenses, certification and experience requirements:

Education: Bachelor Degree equivalent experience preferred.

License:  None    

Certification:  None    

Experience:

• Requires 5 to 10 years of business analysis, writing SMART requirements managing scope, elicitation skills, process mapping, communication skills, etc. or equivalent experience
• 5+ year experience writing technical specifications or equivalent experience.
• 5+ year experience in data analysis in an information technology operating environment or equivalent experience.
• Excellent understanding of and experience working with relayional concepts and business applicability in healthcare management.
• Intermediate knowledge of SQL and Relational technology and proficient query writing experience or equivalent experience.
• Two years Healthcare Industry experience required

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.