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Business Systems Analyst 3 - Payer Connectivity

Company: Change Healthcare
Location: Orinda
Posted on: November 22, 2021

Job Description:

The Business Analyst III assists the R staff in understanding the organizations operational needs for both automated and manual solutions to business systems and procedures of diverse scope. The Business Analyst is involved in planning, organizing and conducting detailed analytical studies to define problems, identify deficiencies and improve solutions which impact the enterprises effectiveness, and provide the basis for issue resolution. The Business Analyst is responsible for executing the system definition and design processes within the Software Development Life Cycle (SDLC). They collaborate with users to define business requirements for system enhancements and new functionalities to achieve process improvements.What will I be responsible for in this job? (brief summary of the role)Under general supervision:Performs research and analysis of user reported problems in support of a healthcare claims and remittance management software solution for healthcare providersConducts interviews to gather new requirements autonomously; employs facilitation techniques as needed to discuss requirements with clients and users; uses specific group and collaborative methods for collecting requirementsFor moderately complex requests/projects, leads or performs analysis of business and user needs, constructs requirements documentation, translates requirements into proper system requirement specifications, and reviews requirements and specifications with internal and external stakeholdersDefines quality attributes and/or develops basic test scenarios to support unit and functional testingCommunicate the business directives, goals and needs to the technical team and serve as business interface from the enterprises operational management team managing expectations and defining business satisfaction metricsUnderstands legal aspects of information systems, i.e. HIPAA, SOX, PHI, Medicare Fraud, Waste, and AbuseApplies general industry and regulatory compliance knowledge to the benefit of the businessAs directed, the BA will participate in an agile development team, ensuring features and functionality requested by users align with business goals for the product, particularly as goals and products evolve over time, as well as ensuring the right information is available to the engineering teams, with the right amount of detail, and at the right timeConducts requirements peer reviews; evaluating clarity, conciseness, comprehensiveness, and appropriateness of specificationsRecognizes and identifies potential areas where existing business services policies and procedures require change, or where new ones need to be developed and makes recommendations in these areasGuides the design, development and documentation of system process workflows and various implementation activities that deliver business solutions required of the businessAssists the organizations business operations staff in developing content or other materialsRecognizes, manages, or fulfils urgent or escalated issuesWhat are the requirements? Years of experience: 5+ years of professional experience in a technical and analytical, preferably healthcare, role Education: Bachelors degree in Computer Science or equivalent Physical requirements: General office workWhat critical skills are needed for you to consider someone for this position?Strong understanding and breadth of experience with technical systemsAbility to identify and understand the business problem and the impact of the proposed solution on the operations of the organizationStrong understanding and broad range of experience with programming and database languagesStrong organizational and project management skillsAbility to interact with internal staff at all levelsExcellent oral and written skills in order to effectively communicate with customers and internal staffStrong understanding of the healthcare industry and the information exchange between providers, clearinghouses, payers and employersStrong understanding of ANSI transactions for healthcare electronic claims and electronic remittance adviceAbility to develop and deliver presentation materialsAbility to field questions in an open forum or presentationAbility to formulate and define systems scope and objectives through research and due diligenceAbility to responsibly manage timeHow much should I expect to travel? Less than 10%Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.#li-remoteJoin our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID MandateAs a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment. As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Keywords: Change Healthcare, San Francisco , Business Systems Analyst 3 - Payer Connectivity, Professions , Orinda, California

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