- Identifies and documents business requirements for both new and existing Technical Operations processes and services, as needed, to achieve department business goals
- Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation
- Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts
- Seeks opportunities to initiate and manage projects to improve existing processes, delivering enhanced quality and efficiency
- Identifies issues and implements solutions that resolve the immediate need and prevent reoccurrence of the issue
- Develops knowledge necessary to become the Subject Matter Expert (SME) for assigned processes
- Performs functions to support Government Programs processes and documents required process steps
- Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end
- Maintains process support documentation utilized by other stakeholders to understand the complex processes of Technical Operations
- Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis
- Performs data analysis using SQL or business intelligence software
- Bachelor's degree in business-related field, or equivalent combination of education and experience
- 3+ years' Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing In a business environment preferred
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
- Hours/Location: Monday-Friday 7:30am-4:00pm, CST-Remote
- Paid Volunteer Hours
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750
- Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Nine paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program
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Business Analyst, Government Programs, Med-D-Remote - Appleton, United States - Navitus Health Solutions
Description
Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is responsible for proactive review of all CMS and/or state regulations and guidance. The Business Analyst helps develop and execute test scenarios/plans, coordinates the user/system testing, and may be responsible for quality assurance. The Business Analyst is proficient in data reporting and data manipulation for analysis, as well as using standard tools for reporting at Navitus. These tools include, but are not limited to, Microsoft Excel and QlikView.
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