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Healthcare BA

3B Staffing LLC, Lauderdale Lakes, FL, United States


Healthcare BA

Onsite once a week in ft Lauderdale, FL

Prefer healthcare background, Medicare etc.

Business Analysts (BA)

to support the new

Miramar Re-Engineering Project , which focuses on enhancing system configurations to drive efficiency, optimize implementation efforts, and reduce PMPM costs. Any Analysts with a track record of successfully delivering similar process improvements will be highly beneficial to this initiative.

Business Analyst Qualifications

Industry Expertise:

Strong background in

Medicare (MA, MAPD, PDP)

within both individual and employer group plans.
Experience with

employer eligibility file processing implementations .

Technical Skills:

Proficiency in writing

detailed system configuration requirements

and defining process automation strategies.
Ability to collaborate with development teams to enable

additional system configurations via UI for automation .

UX and Design:

Familiarity with

high-level UX design principles .
Experience in creating

wireframes and markup diagrams

to support system design discussions.

Cross-Functional Collaboration:

Demonstrated ability to work effectively with

technical, operations, and client teams

to gather, document, and validate requirements.

Preferred Experience:

Knowledge of

eligibility processing workflows and file structures

in the Medicare or employer group plan space.
Experience in implementing solutions that align with

compliance requirements and industry standards .

Soft Skills:

Strong

analytical and problem-solving abilities .
Excellent

communication and documentation skills

to articulate complex concepts clearly and concisely.

Job Description:

The IT Business Analyst solves organizational information problems by analyzing requirements; designing system enhancements; recommending system controls and protocols. Working closely with business representatives and information technology teams, business analyst will translate business needs into effective process and software designs, helping business achieve its objectives using process and technology.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Determines operational objectives by studying business functions; gathering information; evaluating output requirements and formats.
Initiates, participates and facilitates data modeling, process modeling and solution modeling
Designs and documents software solutions by analyzing requirements; constructing workflow charts and diagrams; studying system capabilities; writing specifications as needed
Improves systems by studying current practices; designing modifications.
Recommends controls by identifying problems; writing improved procedures.
Develops testing scenarios and assists with user acceptance testing for system and process changes
Provides references for users by writing and maintaining user documentation; providing help desk support; training users.
Prepares technical reports by collecting, analyzing, and summarizing information and trends.
Investigate service related issues to identify root cause of issues; identify and communicate business needs assessments as necessary.
Keeps abreast of trends and issues in the government healthcare insurance space.
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
EDUCATION AND EXPERIENCE

Bachelor's degree in computer science, industrial engineering, business, or operations management
Minimum of five to seven years of experience in similar role
A solid history of leading development, support, modifications, enhancements and troubleshooting technologists is required.
Experience in Healthcare Insurance Enrollment and Membership Services environment, with government sponsored program experience a big plus
OTHER DUTIES AND RESPONSIBILITIES

Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company.
Responsible for participating in quality assurance, compliance and in-service and continuing education activities as requested by Company.
Responsible for performing other duties and responsibilities as required.
Knowledge, Skills, and Abilities

Strong Analytical Skills and problem solving skills
Excellent Oral and Written Communication Skills
Strong Business Process Analysis and Design Skills
Ability to Create and Maintain Flow Charts for Business processes
Ability to create State Diagrams, Screen Mock Ups
Ability to design, document process monitoring and control Reports
Software Requirements Documentation
Software Testing for User Acceptance
Strong presentation / demonstration skills
Business Process for User Acceptance
Ability to engage comfortably and effectively present information to top management, internal and external customers
Good written, verbal and interpersonal communication skills.
Excellent organizational skills and attention to detail.
Excellent documentation skills.
Team player.
Requires analytical / problem-solving skills
Requires solid knowledge of generally accepted accounting principles
Hands on individual with strong work ethic combined with solid managerial skill set.
Strong attention to detail and ability to meet aggressive deadlines
Skill in dealing politely, tactfully and firmly with a wide range of people and personalities.
Skill in communication and interpersonal skills sufficient to exchange or convey information and to receive work direction.
Skill in organizing and prioritizing tasks.
Must be able to multi-task and think quickly.
Ability to analyze data and prepare reports.
Ability to understand and carry out complex oral and written instructions.
Ability to interact professionally and maintain effective working relationships with superiors, coworkers, customers, and others.
Ability to work in an environment with many interruptions.
Ability to be flexible and juggle many assignments or projects at the same time.
Ability to manage open requests and follow up when necessary without outside direction.
Ability to manage time effectively with strong attention to detail.
Ability to constantly meet deadlines.
Ability to interact politely, tactfully and firmly with a wide range of people and personalities.
Ability to manage multiple simultaneous tasks with individual timeframes and priorities.
The ability to generate positive relationships with internal and external business associates as well as foster a team environment through excellent leadership and management skills.
Strong change management skills and ability to thrive in a dynamic and fast-paced environment.