Configuration Business Analyst - Managed Care
Clearlink Partners
RemoteRemote$90,000 - $130,000 a year
Job Description
Company Description:
Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.
We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.
Position Responsibilities:
Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
Identifying areas for process improvement, and developing/ implementing solution
Leading review and writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.
Identifying opportunities for workflow optimization, efficiency and automation
Staying up-to-date on the latest process and IT advancements to automate and modernize systems
Conducting meetings and presentations to share ideas and findings
Performing requirements analysis
Documenting and communicating the results
Recommend alert and reporting requirements
Leverage technical skills, coupled with business intelligence and a deep understanding of the customer's needs to transform information into application and operational requirements
Effectively communicating insights and plans to cross-functional team members and management
Gathering critical information from meetings with various stakeholders and producing useful reports
Ensuring options are evaluated and presented to meet business needs and requirements
Performing user acceptance testing
Basic knowledge in generating process documentation
Strong written and verbal communication skills including technical writing skills
Updating, implementing, and maintaining procedures
Prioritizing initiatives based on business needs and requirements
Serving as a liaison between stakeholders, business units, technology teams and support teams
Managing competing resources and priorities
Monitoring deliverables and ensuring timely completion of projects
Competencies:
Ability to evaluate opportunity and determine/ present viable options/ alternatives
Strong technical skills.
Excellent documentation skills
Fundamental analytical and conceptual thinking skills
Experience creating detailed reports
Competency in Microsoft applications including Word, Excel, Project and Outlook.
Strong planning, organizational, and time management skills.
Experience:
A bachelor’s degree in business or related field preferred, comparable experience considered
A minimum of 3 years as a team member on process-oriented projects in highly complex business-to-business and/or outsourced client environments
Previous experience working for a managed care organization in Claims, Business / Systems Analysis or Quality Assurance
Proven experience in eliciting requirements and testing
Experience in analyzing data to draw business-relevant conclusions and in data visualization techniques and tools
A history of supporting successful projects
Physical Requirements:
Must be able to sit in a chair for extended periods of time
Must be able to speak so that you are able to accurately express ideas by means of the spoken word
Must be able to hear, understand, and/or distinguish speech and/or other sounds in person, via telephone/cellular phone, and/or electronic devices
Must have ample dexterity which allows entering of text and/or data into a computer or other electronic device by means of a keyboard and/or mouse
Must be able to clearly use sight so that you are able to detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, and/or assess data or other information types
Must be able to fluently communicate both verbally and in writing using the English language
Time Zone: Eastern or Central
Other Information:
Expected Hours of Work: Monday – Friday 8a.m. – 5 pm; with ability to adjust to Client schedules as needed
Travel: May be required, as needed by Client
Direct Reports: None
Salary Range: $90,000 - $130,000
EEO Statement:
It is Clearlink Partners’ policy to provide equal employment opportunity to all employees and applicants without regard to race, sex, sexual orientation, color, creed, religion, national origin, age, disability, marital status, parental status, family medical history or genetic information, political affiliation, military service or any other non-merit-based factor in accordance with all applicable laws, directives and regulations of Federal, state and city entities. This salary range reflects the minimum and maximum target wage for new hires of this position across all US locations. Individual pay will be influenced by Experience, Education, Specialized Soft Skills, and/or Geographic location.
Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.
We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.
Position Responsibilities:
Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
Identifying areas for process improvement, and developing/ implementing solution
Leading review and writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.
Identifying opportunities for workflow optimization, efficiency and automation
Staying up-to-date on the latest process and IT advancements to automate and modernize systems
Conducting meetings and presentations to share ideas and findings
Performing requirements analysis
Documenting and communicating the results
Recommend alert and reporting requirements
Leverage technical skills, coupled with business intelligence and a deep understanding of the customer's needs to transform information into application and operational requirements
Effectively communicating insights and plans to cross-functional team members and management
Gathering critical information from meetings with various stakeholders and producing useful reports
Ensuring options are evaluated and presented to meet business needs and requirements
Performing user acceptance testing
Basic knowledge in generating process documentation
Strong written and verbal communication skills including technical writing skills
Updating, implementing, and maintaining procedures
Prioritizing initiatives based on business needs and requirements
Serving as a liaison between stakeholders, business units, technology teams and support teams
Managing competing resources and priorities
Monitoring deliverables and ensuring timely completion of projects
Competencies:
Ability to evaluate opportunity and determine/ present viable options/ alternatives
Strong technical skills.
Excellent documentation skills
Fundamental analytical and conceptual thinking skills
Experience creating detailed reports
Competency in Microsoft applications including Word, Excel, Project and Outlook.
Strong planning, organizational, and time management skills.
Experience:
A bachelor’s degree in business or related field preferred, comparable experience considered
A minimum of 3 years as a team member on process-oriented projects in highly complex business-to-business and/or outsourced client environments
Previous experience working for a managed care organization in Claims, Business / Systems Analysis or Quality Assurance
Proven experience in eliciting requirements and testing
Experience in analyzing data to draw business-relevant conclusions and in data visualization techniques and tools
A history of supporting successful projects
Physical Requirements:
Must be able to sit in a chair for extended periods of time
Must be able to speak so that you are able to accurately express ideas by means of the spoken word
Must be able to hear, understand, and/or distinguish speech and/or other sounds in person, via telephone/cellular phone, and/or electronic devices
Must have ample dexterity which allows entering of text and/or data into a computer or other electronic device by means of a keyboard and/or mouse
Must be able to clearly use sight so that you are able to detect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, and/or assess data or other information types
Must be able to fluently communicate both verbally and in writing using the English language
Time Zone: Eastern or Central
Other Information:
Expected Hours of Work: Monday – Friday 8a.m. – 5 pm; with ability to adjust to Client schedules as needed
Travel: May be required, as needed by Client
Direct Reports: None
Salary Range: $90,000 - $130,000
EEO Statement:
It is Clearlink Partners’ policy to provide equal employment opportunity to all employees and applicants without regard to race, sex, sexual orientation, color, creed, religion, national origin, age, disability, marital status, parental status, family medical history or genetic information, political affiliation, military service or any other non-merit-based factor in accordance with all applicable laws, directives and regulations of Federal, state and city entities. This salary range reflects the minimum and maximum target wage for new hires of this position across all US locations. Individual pay will be influenced by Experience, Education, Specialized Soft Skills, and/or Geographic location.