Business Analyst (Remote Nationwide)

Signature Performance

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Signature Performance, Inc

Business Analyst

Remote US Nationwide

This is a  full time, direct hire position, working for Signature Performance a leading provider of healthcare business services powered by technology, people, and processes. We inhabit the intersection between provider and payer, government and community, for healthcare financial management. Our clients include well respected health systems, hospitals of all sizes, public and commercial payers and a range of other health–oriented organizations. 

Position Purpose:

The Business Analyst reviews, analyzes, and evaluates healthcare administration business, systems, and user needs. The Analyst's primary responsibility is to gather, analyze, document, and validate the needs of the project stakeholders, helping to determine the difference between what project stakeholders say they want and what they really need. The Analyst should be able to understand the big picture surrounding a solution, documenting the ideas into actionable requirements.

Organization:

This position reports to the Director of the Project Management Office.

Essential Job Functions include the following. Other duties may be assigned.

  • Determine operational objectives by studying healthcare administration business functions and system capabilities; gathering information; evaluating output requirements and formats.
  • Document software requirements specifications to include use cases that explain an end user's interaction with the system.
  • Document specifications for non-functional requirements, such as quality standards and design restraints.
  • Serve as primary intermediary between the customer and the development team throughout a project's life cycle, confirming the requirements reflect the end users' needs and that the system being developed reflects the requirements.
  • Construct workflow charts and diagrams, creating a graphic model, mathematical equations or a storyboard to record a system's requirements.
  • Participate in peer reviews to validate the requirements as well as reviews of the system design, code, and test cases to confirm the system adheres to documented requirements.
  • Communicate with project stakeholders regarding test results and changes to the end-product requirements.
  • Improve systems by studying current practices, designing modifications.
  • Must listen effectively and communicate with a variety of people holding different organizational roles to identify operational and application requirements.
  • Must possess business and technical knowledge to review workflow, documentation, and user surveys, and analyze data to identify a solution to a business issue.
  • Support IT staff in the development and maintenance of solutions, including solutions which exchange various data streams and constructs with external trading using a variety of proprietary and standardized interchange methodologies.
  • Configure & validate workflow and/or adjudication rules within business systems.
  • Define, diagram, and document Standard Operating Procedures, Business Requirements, Functional Design Specifications, ERDs, process/workflow models, Data Dictionaries, End-User Documentation, and Unit and Test plans/cases related to retail pharmacy claims adjudication.
  • Interact with subject matter experts and other dependent stakeholders daily to perform their job duties.
  • Maintenance of confidential data.
  • Participate in the design, testing, and deployment of software solutions that address the needs of stakeholders, providers, members, and other trading partners, and are consistent with industry, State, Federal entities.
  • Analyze the needs of internal and external stakeholders relating to the collection, maintenance, exchange, and delivery of healthcare data sets to support critical healthcare delivery and operations processes, services, and initiatives.
  • Utilize various technologies and project delivery methodologies in an agile or predictive in collaborative team-oriented environments. Assist with defining functional requirements needed for internally developed, proprietary solutions.
  • Conduct insightful, ad hoc analyses to investigate ongoing or one-time operational issues.
  • Act as an effective team member

Knowledge & Experience:

Required

  • 2 or more years of relevant experience in the Healthcare industry preferred.
  • Bachelor's degree in business or related area preferred.
  • Experience in needs assessment and requirements documentation.
  • Knowledge of Software Development Life Cycle.
  • Thorough knowledge of Healthcare Administration functions and processes
  • Experience working with and knowledge of Agile and predictive Project Management and development methodologies.
  • Business structure understanding, with the ability to interview and provide feedback based on observations.
  • Problem-solving, analytical thinking and process modeling skills.
  • Strong interpersonal skills, in both written and verbal communication.
  • Ability to function effectively in a fast-paced environment.
  • Proficiency in JIRA, Confluence, MS Teams, MS Visio, Office 365.

Preferred

  • Knowledge of standard HIPAA EDI transaction data sets (837, 835, 274, 276, 277, 278, 834)
  • Understanding of NCPDP, HL7, ELT, ANSI X12, XM, CMS, HHS, OIG standards.
  • Experience in healthcare provider professional and institutional payment and reimbursement fee schedules (such as AWP, Physician Fee, DME/DEMPOS, Ambulance Lab, ESRD, Hospice, Dental, ASC, Anesthesia)
  • Experience working with Prospective Payment Systems, including (Acute Inpatient, Hospital Outpatient, Skilled Nursing, Home Health, Long-Term Care, Inpatient Rehabilitation, Inpatient Psychiatric)

General Areas of Accountability:

Must conduct business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while employed with the company.

Machines and Equipment:

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copier and fax machines.

Physical Activity:

The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements.

WORKING CONDITIONS:

The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required.

Remote Eligibility: This position is full-time remote eligible. Eligibility is determined by Management or Human Resources.

The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Job ID: 7459

Posted 23 days ago

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