Lead Healthcare Business Analyst

1 week ago


Owings Mills, Maryland, United States nTech Workforce Full time

Terms of Employment

  • W2 Contract, 6 months
  • This position is 100% remote. Candidates must be comfortable working Eastern-hours.

Overview

Our client seeks a Lead Business Analyst to join their Product Management Team. The role will focus on a project consolidating various lines of business—Utilization Management (UM), Care Management (CM), and Appeals and Grievances programs—onto a singular clinical platform, GuidingCare. Currently, UM and CM are managed through HealthEdge's CareManager, while U&G is handled via Hyland's OnBase. The goal is to decommission these disparate systems for increased efficiency and organizational benefits. The project begins late June.

Responsibilities

  • Collaborate with stakeholders to gather and design requirements for the new platform.
  • Document existing processes, CMS requirements (particularly Medicaid), and Standard Operating Procedures (SOPs).
  • Work closely with clinical teams to ensure smooth adoption of new processes.
  • Develop and provide SOP training to teams to ensure business readiness.
  • Work with the clinical team to integrate new processes and ensure seamless transition.

Required Skills & Experience

  • Bachelor's Degree in Business Administration, Business Management, Finance or related field or an additional 4 years of experience (12 years of experience in total).
  • 8+ years in business analysis.
  • Prior use of Microsoft Office applications.
  • Significant existing knowledge of Medicaid
  • Proficient understanding of clinical operations, Utilization Management (UM), Care Management (CM), and/or Appeals and Grievances (U&G).
  • Experience with OnBase, CareManager, or GuidingCare clinical platforms.
  • Proficient in using Jira for documentation.
  • Ability to hit the ground running with minimal margin for error due to the decommissioning timeline.
  • Ability to organize stakeholder meetings.
  • Strong analytical skills to document and streamline processes effectively.
  • Excellent communication skills to work collaboratively with clinical and technical teams.
  • Ability to quickly adapt to new systems and processes.
  • Meticulous attention to detail to ensure accuracy in documentation and process implementation.
  • Proactive in identifying and resolving issues to ensure smooth project execution.

Preferred Skills & Experience

  • Master's Degree or MBA


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