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Senior Business Analyst

4 months ago

Dallas, Texas, United States Allscripts Full time

Allscripts

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of todays healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.

Veradigm Payer

Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.

Solutions from Veradigm Payers:

  • Deliver insights to drive quality outcomes cost-effectively
  • Improve efficiency for themselves, their providers, and their members through high-speed clinical data exchange
  • Impact point-of-care decision making positively by integrating payer guidance and prior authorization management directly in each healthcare providers existing workflow

Job Summary:

The position is responsible for creating the business and functional requirements necessary for technology solutions that meet customer needs, expected delivery dates, and quality standards. Provide support to clients via the telephone and/or Internet (e.g., instant message, email). Assess service issues and resolve technical problems through independent judgment and advanced problem-solving skills.

What you will contribute:

  • Possesses functional knowledge of assigned application technology including version releases, industry standards and legal & regulatory requirements
  • Works under the direction of the Manager to provide application solutions for assigned business areas
  • Interacts with the business stakeholders and subject matter experts, internal and external as appropriate, in order to understand their problems and needs
  • Follows all Standard Operating Procedures SOPs (i.e. Patient Safety and Compliance)
  • Diagnoses and resolves client questions or problems over the telephone/Internet in the areas of system configuration/setup, product functionality and bugs/enhancements
  • Interacts with business stakeholders, internal and external as appropriate, to understand new business requirements and enhancement requests
  • Communicates effectively with all parties related to assigned process area
  • Achieves established goals
  • Translates business requirements into product-specific designs and configuration, detailed requirement specifications and use cases, provides accurate and timely information and appropriate notification as required
  • Delivers functional specifications, design documents, business process workflow and related documentation for new development projects and/or enhancement and modification requests
  • Participates in the software build and/or configuration process and testing process
  • Designs and executes functional, integration, and regression test plans for new application functionality, product releases and enhancement and regulatory modifications using business scenarios and user cases, as appropriate
  • Ensures programs meet business specifications
  • Reviews vendor provided documentation and user manuals needed to support the product, as appropriate
  • Escalates any disconnects between client expectations, the contract and Veradigm's interests
  • Participates in user focus groups and requirements workshops, vendor training and demonstrations
  • Improve solutions by studying current practices; designing modifications; writing specifications, as appropriate
  • Conduct and coordinate financial, product, market, operational and related research to support strategic and business planning within the department, as appropriate
  • Knowledge transfer and documentations of issue resolution with other team members to improve overall team education level and productivity
  • Take complete ownership for the assigned tasks, including escalations, and proactively inform the progress of the project / task to all stakeholders
  • Works with business stakeholders on complex issues related to special expertise and is often chosen by management to handle SEV1 / Critical cases in the area of expertise, if appropriate
  • Acts as a mentor for the team, guiding more junior staff in terms of how to manage clients in potentially billable situations in his/her area of expertise, if appropriate
  • Works directly with 3rd party vendors and cross functionally internally
  • Possess advanced level knowledge of assigned applications or solutions and develops knowledge content, acting as the go-to person for other team members
  • Performs root cause analysis in his/her area of expertise and suggests to leadership potential billable cases, if appropriate
  • Escalation duties as needed, assigned by leadership
  • Work independently and with mentors/peers to gather and translate business requirements into product-specific designs and configuration, detailed requirement specifications and use cases while expanding assigned application expertise and knowledge of products/solutions and business processes
  • Able to independently conduct financial, product, market, operational and related research to support strategic and business planning within the department, as appropriate
  • Independently create informative, actionable and repeatable reporting that highlights relevant business trends and opportunities for improvement
  • Provides formal training to team members and documentation as needed

The ideal candidate will have:

  • Bachelor's Degree or equivalent Technical / Business experience Required
  • 4-7 years relevant work experience Preferred
  • Experience with Natural Language Processing (NLP) or Artificial Intelligence (AI) Preferred
  • Experience in the field of healthcare with relative experience in: Claims data, Risk adjustment, medical coding, Medicare, and Medicaid (Preferred)

#LI-REMOTE

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigms policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

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