Senior Business Analyst - Jefferson Health Plan

Job Details

Under the general supervision of the Department Director as assigned, the Senior Business Analyst will analyze business processes relative to available and new functionality within supported applications. Provide options to create efficiencies through supported applications. Provide technical and application support including, but not limited to the assessment of technical capabilities and usage relative to technical capabilities. Query MHS databases or coordinate all queries on AS400 or AS400-like databases. Manage issues associated with technical interfaces within Supported applications to ensure resolution in a timely and accurate way. Assist the Business Unit with the identification of appropriate business solutions to problems including root cause analysis and analysis of alternative options and organizational impact. The Senior Business Analyst is responsible for the development and execution of test plans for system upgrades and new functionality. The Senior Business Analyst provides guidance to Business Analysts and Business Units on components of supported applications impacting their business processes. The Senior Business Analyst may be responsible to deliver or coordinate training for Business Units. Develops processing guidelines and standards for the department. Maintains accurate department records and documentation. Supports corporate goals by ensuring that activities and outcomes are in compliance with partner, client and government contracts and internal strategies. Set-up, configure, execute and / or coordinate processes in production, development, testing, and training environments. Reviews support documentation for completeness and accuracy.

Job Description

• Able to work in a constant state of alertness and a safe manner
• Ensure successful project conclusions by meeting department and corporate objectives.
• Performs analysis of processes, procedures and practices, in department or assigned area, and identifies and makes recommendations for improvement.
• Develops and implements business solutions to meet customer needs and requirements, including project design, success measurement, testing, auditing and documentation. Identifies alternative solutions and resulting outcomes when needed.
• Independently manages the completion of assigned tasks ensuring priorities and timelines are met - Typically, manages 4 - 5 projects, affecting multiple departments, with significant departmental cost and impact.
• Serves as Operations liaison with Information Services and management to modify and design procedures and reports. Supports system conversions and upgrades, contributes to the development of implementation plans, deployment and migration documents and provides support to facilitate system implementations.
• Provides technical support for EDI related functions or other specific systems/functions within the business unit.
• Document and track metrics to assist the department in tuning batch jobs for optimum performance
• Coordinate “dry run/dress rehearsal” of production deployment in testing environment
• Review and QA of system fixes, patches and updates to ensure current fix level is maintained
• Maintain system operations reference manuals and documentation for all supported systems
• Participates in internal and external audits, reviews and inspections
• Understands the chain of command and points of accountability and decisions for specific matters and communicates accordingly.
• Decisions are consistent with established program and management policies, procedures, protocols and goals.
• Develops test plans, quality assurance and audit procedures for new systems or system enhancements.
• Ensures deadlines for review and reporting responsibilities are met.
• Anticipates and keeps project staff, stakeholders and management staff informed of future or planned events which could impact on implementations.

Education and Experience:

•  Bachelor’s Degree or equivalent experience
•   4 to 6 years related work experience in Managed Care Operations, progressive experience in systems development or information systems preferred, and Project Management experience preferred.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Health Partners Plans, Inc.

Primary Location Address

1101 Market, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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