Business Analyst

Summary

Join Brighton Health Plan Solutions as a Business Analyst and become part of a diverse and welcoming team focused on improving healthcare access and delivery. You will serve as a liaison between business programs and IT, analyzing and documenting client requirements, translating them into functional specifications, and collaborating with stakeholders to develop innovative digital solutions. This role requires strong analytical, communication, and technical skills, along with experience in the healthcare payer domain, particularly in Multi-employer Trust or Health Plan administration. The ideal candidate will have a bachelor's degree and 4+ years of relevant experience. Brighton Health Plan Solutions offers a culture that values diversity, inclusion, and belonging.

Requirements

• A bachelor’s degree
• 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration
• Good working knowledge of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder
• Ability to adapt to a fast pace, changing environment and to handle changing priorities and deadlines
• Skilled at persuasive written and verbal communications that drive action or set strategic direction
• Proficient in Microsoft Office including Outlook, Excel, Visio, PowerPoint and Word
• Knowledge of BA/ MS project Tools, JIRA, MS Project
• Able to manage large scale initiatives
• Skilled at large JAD type sessions and interviews and be able to document SMART requirements for consumption by technical teams
• Need to have a commanding the room type personality to drive their work and facilitate conversations
• Ability to manage multiple stakeholders from different business areas both technical and business
• Familiar with assumptions, dependencies, defining what is in and out of scope

Responsibilities

• Serve as a liaison between the business programs community and the IT organization to provide technical solutions to meet project needs
• Critically evaluate information gathered from multiple sources; reconcile conflicts; abstract up from low-level information to a general understanding; and distinguish requests from underlying true needs
• Break down high level information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs
• Analyze and document client's business requirements and processes; use and promote industry standard analysis techniques, such as data flow modeling, use-case analysis, workflow analysis, business process mapping
• Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications
• Present concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards
• Forward functional specifications to digital team members for design and solution development
• Work within timeline and resource constraints provided by the Project Manager
• Partner with stakeholders on requirements prioritization, solution approach and alternatives, and manage requirements changes to ensure developed solution conforms to business needs
• Proactively identify areas of potential business risk, on projects both within and outside of control, make recommendations related to mitigation and escalate as necessary
• Collaborate with designers, product managers, solution architects and developers to translate business requirements into innovative digital solutions
• Support User Experience (UX) design and partner with design leaders to create intuitive, user-centered interfaces that enhance the digital care, clinical, research and business experience
• Actively participate in design, development and testing of products and solution lifecycles including development of wireframes, prototypes and user-testing
• Produce business design document based on product and solution requirements
• Support Quality Assurance (QA) Testing by developing test plans, test cases and acceptance criteria to validate digital solutions against business requirements and regulatory standards. Participate in QA testing activities, identify defects, and collaborate with teams to ensure timely resolution and delivery of high-quality products and solutions
• Perform other related duties as assigned or requested

Preferred Qualifications

• BA Certifications and or PMP
• Experience with SFTP, EDI X12 transactions 834, 837, 270/1