Business Analyst

  • location: Horsham, PA
  • type: Contract
  • salary: $33.33 - $41.60 per hour
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job description

Business Analyst

job summary:
Description:

This Business Rules Analyst role is a position within the Business Rules Configuration Team which aligns under Insurance Solutions for Medicare and Retirement/

The Business Rules Analyst will build and maintain relationships with operations teams within Insurance Solutions to understand the business needs and write new rule requirements based on those business needs. Additionally, the Business Rules Analyst will collaborate with the appropriate team members in researching existing business processes and business policies to optimize current state business rules.

Primary Job Responsibilities

- Act as a liaison between various impacted operation teams including other key stakeholders to confirm the scope of a business rule request.

- Gather, analyze, design and, document business rule requirements.

- Identify potential areas where existing business and operational policies and procedures require change and/or where new ones need to be developed, and make recommendations for improvement in those areas.

- Recognize, analyze, and document gaps between current state and the desired outcome.

- Create and/or maintain rule requirement matrix, data object models, process models and decision tables.

- Engage appropriate resources to vet and analyze business information and continue to learn from those engagements.

- Manage the intake and priority process.

- Participate in business rule testing as needed.

- Maintaining and coordinating status updates, action items, risk/issues, and defect logs.

- Other duties as assigned by management.

Requirements

Required Qualifications


- Healthcare industry experience.

- Business rule design knowledge / experience

- BA/BS degree in Engineering, Business or related field and/or equivalent education and experience.

- 2+ years of experience in gathering and authoring business requirements and solutions for large scale complex projects.

- 2+ years of experience working with multiple stakeholders in a matrix type environment to achieve project deliverables required.

- Intermediate level of proficiency with Excel, Visio, PowerPoint and SharePoint.

- Strong oral and written communications and presentation skills.

- Excellent time management, organizational, and prioritization-skills and the ability to balance multiple priorities in a changing environment

Preferred Qualifications

- Medicare Supplement expertise preferred working with Claim Operations teams.

- 2+ years of Claims processing - Medicare Supplement Claims experience preferred.

- Experience and knowledge with Business Process Rules Management processes, rules and/or tools.

- Intermediate understanding of health insurance industry rules and regulations, and/or health plan functions, practices and related processes.

- Experience developing basic test scenarios and supporting User Acceptance Testing.

 
location: Horsham, Pennsylvania
job type: Contract
salary: $33.33 - 41.60 per hour
work hours: 8 to 5
education: Bachelor's degree
experience: 2 Years
 
responsibilities:
Primary Job Responsibilities

- Act as a liaison between various impacted operation teams including other key stakeholders to confirm the scope of a business rule request.

- Gather, analyze, design and, document business rule requirements.

- Identify potential areas where existing business and operational policies and procedures require change and/or where new ones need to be developed, and make recommendations for improvement in those areas.

- Recognize, analyze, and document gaps between current state and the desired outcome.

- Create and/or maintain rule requirement matrix, data object models, process models and decision tables.

- Engage appropriate resources to vet and analyze business information and continue to learn from those engagements.

- Manage the intake and priority process.

- Participate in business rule testing as needed.

- Maintaining and coordinating status updates, action items, risk/issues, and defect logs.

- Other duties as assigned by management.

 
qualifications:
Requirements

Required Qualifications


- Healthcare industry experience.

- Business rule design knowledge / experience

- BA/BS degree in Engineering, Business or related field and/or equivalent education and experience.

- 2+ years of experience in gathering and authoring business requirements and solutions for large scale complex projects.

- 2+ years of experience working with multiple stakeholders in a matrix type environment to achieve project deliverables required.

- Intermediate level of proficiency with Excel, Visio, PowerPoint and SharePoint.

- Strong oral and written communications and presentation skills.

- Excellent time management, organizational, and prioritization-skills and the ability to balance multiple priorities in a changing environment

Preferred Qualifications

- Medicare Supplement expertise preferred working with Claim Operations teams.

- 2+ years of Claims processing - Medicare Supplement Claims experience preferred.

- Experience and knowledge with Business Process Rules Management processes, rules and/or tools.

- Intermediate understanding of health insurance industry rules and regulations, and/or health plan functions, practices and related processes.

- Experience developing basic test scenarios and supporting User Acceptance Testing.

 
skills: Other
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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