Business Analyst, Government Programs, Med-D-Remote

The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is responsible for proactive review of all CMS and/or state regulations and guidance. The Business Analyst helps develop and execute test scenarios/plans, coordinates the user/system testing, and may be responsible for quality assurance. The Business Analyst is proficient in data reporting and data manipulation for analysis, as well as using standard tools for reporting at Navitus. These tools include, but are not limited to, Microsoft Excel and QlikView.

Job Responsibilities:

• Identifies and documents business requirements for both new and existing Technical Operations processes and services, as needed, to achieve department business goals
• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation
• Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts
• Seeks opportunities to initiate and manage projects to improve existing processes, delivering enhanced quality and efficiency
• Develops project plans to ensure the quality and timeliness of project deliverables
• Develops test plans and coordinates user/system testing
• Identifies issues and implements solutions that resolve the immediate need and prevent reoccurrence of the issue
• Develops knowledge necessary to become the Subject Matter Expert (SME) for assigned processes
• Performs functions to support Government Programs processes and documents required process steps
• As the process owner, leads oversight meetings to ensure compliance and reliability for all assigned processes
• Ensures technical processes supporting Government Programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end
• Develops and maintains clear and thorough documentation for all assigned processes
• Maintains process support documentation utilized by other stakeholders to understand the complex processes of Technical Operations
• Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective
• Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis
• Leads efforts to ensure appropriate action is taken to correct process defects, process inefficiencies, and non-compliance events
• Participates in industry conference calls and workgroups related to assigned processes
• Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant
• Interfaces with internal operational areas and external customers to improve the quality of customers' implementations
• Performs data analysis using SQL or business intelligence software
• Develops a solid working knowledge of Navitus’ claims processing system

Essential Background Requirements:

Education: Bachelor’s degree in business-related field, or equivalent combination of education and experience

Experience: 3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing In a business environment preferred

Key Skills/Competencies:

• Ability to build and manage relationships; be responsive to the dynamics of the environment, interpersonally and organizationally; and ability to influence and interact with different levels within the Navitus organization
• Solid customer-centric skills and ability to understand internal and external customers and cultivate strong, collaborative relationships
• Teamwork/Collaboration with both technical peers and business users; ability to work well within a team environment as well as independently
• Technical writing skills to effectively translate business requirements for developers, and mitigate business coo that arise
• Strong analytical skills, ability to perform root cause analysis, and experienced in analyzing requirements
• Strong critical thinking, problem-solving, judgment, and decision-making skills
• Ability to communicate effectively (written, verbal/presentation, and active listening)
• Ability to prioritize continually/multi-task; remains efficient in managing an ever-changing workload
• Project management skills; demonstrates commitment to practicing sound documentation and file management techniques
• Ability to understand and cope with constant change
• Ability to understand process concepts, and proficiently design efficient, stable, and scalable business processes