- Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes
- Work with key project stakeholders to formulate and communicate business requirements and scope of project
- Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand
- Perform all configuration changes within applicable software test environments
- Responsible for configuration, interface and application testing
- Develop and execute test cases and documentation to support configuration changes/updates/additions
- Work with stakeholders to validate test case results
- Coordinating and documenting for all configuration activity for change control and auditing
- Responsible for coordination of production turnover of all configuration work upon business owner sign off
- Serve as subject matter expert for root cause analysis and issue resolution
- Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments
- Perform business analysis duties for designated corporate projects and maintenance requests
- Oversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documented
- Identify potential areas of automation and aid in re-engineering the underlying business processes
- Recommend and maintain standards for development of business cases and their documentation
- Associates degree and/or years of experience and background to equate to the degree
- Minimum of two years of business analysis and system configuration experience; or similar demonstrated experience working with health care claim processing
- Prior experience in a Health Care organization or setting
- Benefit and contract configuration experience
- Experience with Health Rules or Facets
- Experience with SQL queries
- Excellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectively
- Demonstrated ability to manage multiple priorities simultaneously in a deadline driven environment
- Proficient in MS Project, Excel, PowerPoint and Word
- Strong communication skills, both verbal and written
- Experience with Acuity software
- Experience with Optum CES (Claims Editing Software)
- Experience with Crystal reports/letters
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Business Analyst - Smithfield, United States - Saxon Global
Description
Duties and Responsibilities :Required: