Healthcare Business System Analyst/Solutions Analyst

Healthcare Business System Analyst/Solutions Analyst - 100% Remote

12+ month contract

Los Angeles, CA

Job ID 2023-8677

Solugenix is assisting a client, a prestigious health insurance company, in their search for a Solutions Analyst/Healthcare Business System Analyst. This is a 12+ month (possible extension) based out of Los Angeles, CA.

Required:

• Minimum of 7 years of experience in managed healthcare environment with strong domain expertise in at least one of the following disciplines: Claims/EDI, Membership, Provider, Care Management, or Finance.
• Minimum of 5-7 years of experience eliciting and documenting business and systems requirements using techniques such as JAR/JAD, SCRUM, etc. OR minimum of 5-7 years of experience developing, implementing, and evaluating workflow processes, policies, and procedures.

Preferred:

• Experience with JIRA, Confluence, Tableau and Requirements Management software.

Desired:

• Self-motivated with the ability to work independently and collaborate across multi-disciplinary teams to achieve results
• Proficiency with modeling conventions and Visual Document (IDEF) to develop processes, visualizations, use cases and user stories.
• Ability to effectively communicate and present key concepts
• Define, collect, and evaluate business data to examine unique business challenges and synthesize recommendations
• Assist in designing and document business requirements, and design future state process opportunities
• Ability to create high level and detailed process documentation including Suppliers, Inputs, Process, Outputs, Customers, and Requirements (SIPOC) diagrams, among Six sigma tools.

Skills:

• Excellent computer skills: MS Office Suite (Word, Excel, Visio, PowerPoint) skills required.
• Proven ability to lead cross-functional discussions to reach collaborative outcomes.
• Must have excellent written and verbal communications skills and the ability to communicate effectively with management and non-management personnel.
• Strong organizational and communication skills to build and foster effective relationships.
• Strong elicitation and process documentation skills.
• Excellent customer service skills with the ability to make independent judgments, handle multiple projects simultaneously, adapt to shifting priorities and utilize time management skills to meet deadlines.
• Excellent critical thinking and problem-solving skills.
• Proven ability to be produce outstanding analysis deliverables on complex, multi-disciplinary projects and programs.
• Ability to always maintain a professional and mature demeanor.
• Proven ability to work with a diverse group of people, including leadership, support staff, coworkers and department management.
• Demonstrated ability to research complex issues and bring about resolution.
• Demonstrated mentoring and coaching skills to develop other team members.
• Ability to work in a fast-paced department independently or in a team and handle multiple tasks with competing priorities; work with interruptions and deal effectively with confidential information.

Responsibilities:

• Mentors other Solutions Analysts and Business Analysts to strengthen Client's solution and business analysis capability.
• Tracks maintenance of business need and requirements to ensure they are not attenuated or discarded during the execution and delivery phases. Supports the Project Manager by providing more detailed project objectives; clear structured, and useable requirements; tradeoff analysis; requirement feasibility; and risk analysis to improve the execution of the project plan.
• Defines and follows best practices for the organization based on BABOK or other authoritative bodies of knowledge.
• Conducts analysis in support of the entire ePMO.
• Perform other duties as assigned.
• Creates and updates complex as-is and future state business workflows to enable the documentation of business process needs and production of requirements for all related business, and operational systems critical to the project or program. Makes recommendations for solutions or improvements that can be accomplished through new process or technology, or alternative uses of existing processes or technology. Researches and analyzes data in support of business functions, process knowledge, and systems requirements.
• Leads analysis and requirements gathering sessions on large, complex programs and projects using methodologies such as JAD, JAR, SCRUM, etc., to define, analyze, and document business needs and requirements in support of strategic initiatives. Collaborates across multiple business units ensuring that all parties get the best possible outcomes for Client and its members and providers. Documents functional and non-functional business needs and requirements, ensuring requirements are usable, specific and testable, and in alignment to business goals and overall business architecture. Assists in defining Acceptance Test Criteria, tracing back to documented business requirements.

Pay Range for CA, CO, NJ, NY, WA: $65/hour to $74/hour. Starting rate of pay offered may vary depending on factors including but not limited to, position offered, location, education, training and/or experience.

About the Client:

Our client is one of the world's leading health insurance companies based out of Los Angeles, CA.

About Solugenix

Solugenix is an information technology services company known for its deep experience and knowledge in providing comprehensive technology services, solutions, and talent support for companies around the world. The company offers a variety of cutting edge and talent support solutions to promote growth and cutting-edge advancement to our esteemed clients and candidates. We provide these talent support solutions on a contract, contract-to-hire, and direct hire basis. We also have additional resources from our staffing partners to ensure the right match and expertise for the best result.

For over 50 years, global and local brands have trusted Solugenix as an added resource and partner in taking steps to ensure their immediate and future success. In addition to generating ground-breaking, industry-defining solutions, Solugenix has been delivering the talent and support needed to make it happen. We are dedicated to partnering with clients and candidates whose core values also foster a culture of professionalism, teamwork, and integrity.