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Business Solutions Analyst

2 months ago

Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full time
About the Role

We are seeking a highly skilled Business Solutions Analyst to join our team at Brighton Health Plan Solutions, LLC. As a key member of our organization, you will play a critical role in analyzing, defining, and managing business requirements for our clients and products.

Key Responsibilities
  • Serve as a liaison between our business programs community and the IT organization to provide technical solutions to meet project needs.
  • Critically evaluate information gathered from multiple sources, reconcile conflicts, and abstract up from low-level information to a general understanding.
  • Break down high-level information 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 business requirements and processes, using industry-standard analysis techniques such as data flow modeling, use-case analysis, workflow analysis, and 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 storyboards.
  • 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 solutions conform 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 documents 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.
Essential Qualifications
  • A bachelor's degree.
  • 4+ years of experience in onboarding new self-funded clients or implementing products in Multi-employer Trust or Health Plan Administration.
  • Good working knowledge of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, and Provider Finder.
  • Experience with SFTP, EDI X12 transactions 834, 837, 270/1 is a plus.
  • Ability to adapt to a fast-paced, changing environment and 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 able to document SMART requirements for consumption by technical teams.
  • Need to have a commanding presence 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.