Senior Business Analyst

4 weeks ago

Hilo, Hawaii, United States Efficus, Inc. Full time
Job Summary

We are seeking a highly skilled Senior Business Analyst to join our team at Efficus, Inc. as a Delivery Professional managing relationships with State or Federal government executives in both implementation and on-going operations phases of large government health services contracts.

Key Responsibilities
  • Establish and implement appropriate team structure to complete program implementation
  • Establish and maintain positive relationships with the client's executive leadership
  • Establish and maintain positive relationships with various Optum and Client delivery teams
  • Solicit, review, analyze, and create business requirements
  • Developing Business Requirements and upkeeping requirement documentation
  • Deliver results with efficiency, quality, and customer value; measure and report result to the client and to Optum stakeholders
  • Engage client and Optum stakeholders to manage risks and timely resolution of issues
  • Ensure in scope deployments are completed on time and per contract requirements
  • Ensure operational services are delivered with quality and within KPI and SLA requirements
  • Prioritize multiple demands and ideas based on available resources and client commitments
  • Support decisions and act quickly and effectively to sustain progress
  • Navigate and influence multiple cross-functional teams (both clients, Optum and United Healthcare) in a complex work environment
  • Foster and support business development opportunities while engaged with the client

Requirements
  • Bachelor's degree or equivalent experience
  • 5+ years of demonstrated experience in soliciting, reviewing, analyzing, and writing function and non-functional business requirements
  • 5+ years of experience performing and leading requirements gathering and validation
  • 3+ years of demonstrated experience in the Healthcare industry with claims, provider, or member data
  • 2+ years of experience managing project controls including issues, risks, requirements, scope, schedules
  • Experience maintaining visibility on day-to-day activities with project teams and ensuring sufficient facetime with key executive stakeholders
  • Experience engaging in government RFP responses and SOW activities
  • Experience in the healthcare operational services industry
  • Demonstrated experience partnering with stakeholders (client and internal) to ensure the proper strategy, plan, alignment, integration, and visibility
  • Demonstrate and apply knowledge of technology industry trends and tools
  • Demonstrate and apply understanding of applicable regulations (e.g., HIPAA, SOX) and Health Care Company policies/standards (e.g., RSA, security)
  • Understanding of Federal/CMS/State regulations, requirements, and processes
  • Willingness and ability to meet with state client and conduct requirements sessions in HST (Hawaii) time zone

Preferred
  • Willingness and ability to meet with state client and conduct requirements sessions in HST (Hawaii) time zone

Ideal Background

The ideal candidate has extensive experience as a delivery professional managing relationships with State or Federal government executives in both implementation and on-going operations phases of large government health services contracts.

This candidate will be an established leader with operational credibility and experience in the areas of implementing business service operations and Medicaid Management Information Systems (MMIS) or Enterprise Data Warehousing (EDW), and leading efforts that bring best possible solutions to the marketplace.

Prior Business Analytics experience with experience in state government environments, specifically Medicaid, is highly desirable.

Candidates located in Hawai'i or on the west coast (PT & MT time zones) will be able to interact with the client more easily.

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