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

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.