Senior Business Configuration Analyst - Honolulu, HI, United States - AlohaCare

Description

Internal Senior Business Analyst

The Internal Senior Business Analyst will serve as the technical liaison between the IT department and various internal business units in support of the development and enhancements to various systems associated with the organization.

The internal responsibilities of this position consist of developing a deep knowledge of supported health plan areas, conducting business requirement sessions, documenting current and to-be process flows, and creating detailed requirement documents to support development or configuration changes to the various processes and systems.

This position will support testing within the business units by creating test cases and assisting all business areas with the quality assurance process.

To support project planning, they will work directly with the business unit manager of the various areas and other key employees involved in each project to identify, define, prioritize, and execute projects which deliver value through the implementation of new or existing systems – which meets the user's expectations.

External Senior Business Analyst

The External Senior Business Analyst will serve as the technical/project liaison between the IT department, internal business units, and external stakeholders.

This position will be responsible for onsite visits to the external stakeholders and work with their technical teams and business units to provide support in meeting the AlohaCare goals related to Quality, infrastructure, and technical projects.

Reports to the Senior Director of Business Support Services and communicates any important information about the organization or in-flight projects to other employees in the IT department.

• Perform project management duties for AlohaCare on upgrades, new releases, process improvement tasks, compliance projects, and any other project or task related to their assigned business areas.
• Oversees all project management on core software system implementations. Work in collaboration with the manager and staff of the business units involved to develop solutions for all identified problems.
• Work with the manager and staff of the business units involved to identify areas of improvement and execute process improvement projects that will automate current manual processes that will meet all regulatory requirements.
• Troubleshoot all process and system issues when they arise and work with the various staff members and vendors when necessary to resolve the problems in a timely manner.
• Work with all business units and understand reporting requirements and will lead all projects with the necessary staff and/or vendors to develop or modify new and existing reports and will also work with the internal Business Intelligence department to get the required reports created in the BI software.
• Develops and manages all team and vendor meetings on any project or process improvement engagement.
• Develops and delivers informative and well-organized presentations to staff.
• Exhibits confidence and an extensive knowledge of emerging industry practices when solving business problems.
• Uses creative thinking beyond the boundary of existing industry practices and staff mindset.
• Responsible to maintain AlohaCare's confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.

Reports to the Senior Director of Business Support Services and communicates any important information about the organization or in-flight projects to other employees in the IT department.

• Perform project management duties for AlohaCare on process improvement tasks, compliance projects, and any other project or task related to external entities.
• Oversees all project management on external projects. Work in collaboration with the manager and staff of any business unit involved to develop solutions for all identified problems that arise.
• When necessary, work with the manager and staff of the business units involved with external projects to identify areas of improvement and execute process improvement projects that will automate current manual processes for external stakeholders.
• Work with all business units and understand reporting requirements and will lead all projects with the necessary staff and/or vendors to develop or modify new and existing reports and will also work with the internal Business Intelligence department to get the required reports created in the BI software.
• Develops and delivers informative and well-organized presentations to staff.

Work with the external users such as CHCs, Providers, and AlohaCare employees to help with any issues related to any external projects.

• Exhibits confidence and an extensive knowledge of emerging industry practices when solving business problems.
• Uses creative thinking beyond the boundary of existing industry practices and staff mindset.
• Responsible to maintain AlohaCare's confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.

Interface with providers and internal staff on HEDIS data gathering activities related to third-party population health systems (AZARA, i2i).

Manage the HEDIS data extract processes only and not the whole HEDIS initiative.
Work with the providers on any project where they need internal help with any AlohaCare system or process.

This could be helping to train providers or putting processes in place at the provider location to run reports or help configure the system with the provider.

Work with the CHCs or the other provider community with IT projects that have a joint purpose.

This could be working with the provider to understand AC-Online better, helping with batch membership verification (270/271), or EPSDT projects.

Bachelor's Degree (in Computer Science, Business Administration, Public Health, Management or other related field) or equivalent combinations of education and experience

• Strong verbal and written communication in English.
• Requires operation of general office equipment to include; PC, fax/copy machine and ACD Mitel Phones.
• Advanced skills using Microsoft Programs; Word, Excel, Outlook, and PowerPoint.
• Available for weekend or extra hours work during project implementation or whenever necessary to accomplish tasks.
• Must be able to telecommute if necessary using personal equipment

Bachelor's Degree in Computer Science, Business Administration, Public Health, Management or other related field.

• 5 years of QNXT experience or other claims processing systems.
• Intermediate Transact-SQL Skills
• Previous experience creating user manuals, project plans, and user documentation.
• Requires operation of general office equipment to include PC

Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record, disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veterans status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.

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