Business Analyst

SPECTRAFORCE · Durham, North Carolina

FULL TIME

Job Description

Title: Business Analyst

Duration: 12 months

Shift: M-F 8-5

Location

Durham, NC 27707 (Hybrid)

Job Description

Elicit, document and track requirements for changes to business processes, policies, information, and information systems for intermediate level business problems.

Develop and elicit requirements for departmental and some corporate projects as requested by internal/external customers; prepare business and functional requirements.

Communicate and validate requirements with stakeholders and identified SMEs.

Collaborate with project teams to adhere to solution scope and maintain requirements traceability.

Support and execute business readiness activities including the communication plan to support changes to technology, processes and people.

Develop new procedures, specifications for system changes or recommendations for product and/or process changes. Facilitate the implementation of changes with management and staff.

Design customer feedback mechanisms to gather ongoing information about business processes. Analyze results and creates plans to address weaknesses.

Develop and maintain reporting tools for use in measuring business area performance against metrics/industry benchmarks and ensuring data integrity and systems stability in support of operations management.

Provide timely and accurate access to data, distribute reports and present/explain results to business area supported as well as to other BCBSNC areas. Work with trainers to develop training programs that target problem areas.

Use industry standard analysis techniques such as data flow modeling, use-case analysis, workflow analysis, business process mapping, functional decomposition analysis/or financial ROI modeling for initiatives that are at an intermediate level.

Support business vendor relationships by documenting business issues, determining project needs, and supporting training as needed.

Perform peer reviews of less experienced analysts’ work as needed.

Hiring Requirements

Bachelor's degree or advanced degree (where required)

3+ years of experience in related field.

In lieu of degree, 5+ years of experience in related field.

Top 3-4 Required Skills

Healthcare Insurance experience

Process mapping

Requirements elicitation

Strong Excel/data skills

Excellent documentation

Cross-functional facilitation

Nice to have Skills

Healthcare payer / ASO experience

Billing / Finance workflow experience

Power BI

Jira

SharePoint

Regulatory/compliance implementation

SQL

State-mandate experience

Health insurance assessments/fees

Blue-plan experience

Breakdown of Duties/Typical Day

Document the current state and identify process, ownership, data and control gaps.

Design the future-state operating model across Compliance, Legal, Sales, Finance and Data/Reporting. Define business and data requirements supporting intake, applicability, reporting, payment, billing, reconciliation and audit.

Establish reusable documentation and governance tools, including process maps, RACI, decision/RAID log and requirements/backlog.

Transition the model into an executable implementation plan that

Compliance team and the business can maintain after the contractor exits

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Company	SPECTRAFORCE
Location	Durham, North Carolina
Type	FULL TIME
Niche	Full-time

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