Clinical Business Systems Analyst

JOB SUMMARY

This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities); Analyze data to determine business problems, trends, or opportunities for process improvements; Create/execute test cases; Provide root cause analysis and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources.  Requires thorough understanding of end systems impact of changes across multiple systems, clinical disease process, and healthcare data.

As a Clinical Business Systems Analyst, you will play a critical role in shaping the digital healthcare strategy for the organization and our clients. You will be responsible for fostering strong partnerships with stakeholders, providing expert consultation on the design and feasibility of our clinical digital healthcare products, implementing large scale data exchange initiatives, and providing development and operations support. This role involves translating intricate clinical requirements into clear, actionable plans for product and technical teams. Our products are designed for clinical identification and stratification and facilitating precise member routing to in-person, telephonic, and digital outreach programs. Your contributions will directly impact our ability to deliver impactful member outreach.

ESSENTIAL RESPONSIBILITIES

• Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.
• Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.
• Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. 
• Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.
• Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
• Other duties as assigned.

EDUCATION

Minimum

• Bachelor's Degree in Business Management, Information Systems, or closely related field

Substitutions

• Degree in Nursing, Informatics, Business Management, Health Administration, Public Health or related field

Preferred

• None

EXPERIENCE

Minimum

• 3 - 5 years in IS/IT or Healthcare

Preferred

• 1 - 3 years in Lean/Six Sigma experience
• 1 - 3 years in the Health Insurance Industry
• 1 - 3 years in the Healthcare industry

LICENSES OR CERTIFICATIONS

Required

• None

Preferred

• Six Sigma
• Project Management Professional (PMP)
• Clinical License

SKILLS

• Analytical Skills
• Problem-Solving
• Communication Skills
• Report Writing
• SQL
• Agile Methodolgy
• Agile Project Management
• Manage Multiple projects concurrently
• Proven ability to effectively juggle multiple competing projects
• Strong planning and execution
• Data Exchange

Language Requirements (other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Remote

Teaches / trains others regularly

Rarely

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

Yes

Lifting: up to 10 pounds

Rarely

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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