About The Role We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product.  The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management, Contribution Accounting) or Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) space. This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.

Job Responsibilities

• Work with business and solution delivery owners to define and document requirements for the assigned products and services, as well as write user stories, acceptance criteria, feature description decks, process flows, manage traceability and UAT.

• Maintain a solid knowledge base of the functional and system capabilities of the various areas and products within the assigned product portfolio.

• Use applicable requirement methodology to analyze, define and document requirements and manage traceability.

• Work with stakeholders and product teams to drive consensus on scope, design and implementation decisions.

• Provide analysis and impact to user and business for changes to current functionalities and applies problem solving skills to meet business needs.

• Develop and integrate requirement management to the delivery approach and schedule; you will also be responsible for product quality, project timeliness, and customer satisfaction.

• Participate in the presentation of information to customer and internal business and or IT teams.

• Creates business / product / third party vendor specifications for product integration and implementation.

   Essential Qualifications

• Minimum 5 years of experience as a business analyst in healthcare payer in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration.

• Expertise and experience in preparing High Level requirements, UseCases, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.

• Proven ability to map business process and workflows, conducting gap analysis and documenting requirements, ensuring requirements are developed and tested.

• Excellent verbal/written communication skills; comfortable leading business and technology teams within the organization to translate business issues & requirements into technical solutions.

• Healthcare Insurance Payer in one of more of the following areas covering business & technology: Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service.

• Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues through resolution quickly and methodically.

• Proficient with Word, Excel, and PowerPoint, Visio.

• Knowledge of BA/ MS project Tools, JIRA, MS Project, Excel, Visio.

• Self-motivated and detail-oriented.

• Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.

• Bachelor's degree or equivalent experience.  BA Certifications and or PMP a plus.

  About

  At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

  Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

  Come be a part of the Brightest Ideas in Healthcare™.

  Company Mission

  Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

  Company Vision

  Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

  DEI Purpose Statement  

  At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

  *We are an Equal Opportunity Employer

   

  JOB ALERT FRAUD:  We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.  Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section.  If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: recruiting@brightonhps.com

   

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