• The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. • Interprets patient medical records and reviews cases with the insurance nurse reviewer. • Accurately enters information into multiple computer programs and insurance websites.

Analyze and implement systemic changes for regulatory reporting, conduct root cause analysis, collaborate with partners to resolve issues, and support statistical data delivery for compliance and reporting purposes.

• Leads requirements gathering and analysis for new solutions and system implementations • Collaborates with stakeholders to identify business needs and translate them into functional specifications • Ensures alignment between business objectives and technical solutions • Proactively identifies and mitigates functional risks that could impact solution scalability or user adoption • Establishes pre-implementation baselines to ensure measurable comparison against post-launch outcomes • Develops and implements frameworks to measure solution effectiveness and ROI • Defines KPIs and success metrics for new initiatives • Creates dashboards and reports to track adoption rates, performance improvements, and business outcomes • Conducts post-implementation reviews and recommends optimization strategies • Validates data integrity within dashboards to ensure senior management is making decisions based on single source of truth metrics • Partners with cross-functional teams • Translates complex data into compelling narratives and actionable insights for executive leadership • Presents findings, recommendations, and impact assessments to senior management • Manages expectations and communicates project status effectively • Complies with all the internal rules and regulations of the Company.

• Leads and mentors a team of Business Analysts, providing day-to-day guidance, coaching, and professional development support to elevate team capabilities • Sets standards and best practices for requirements gathering, analysis, and documentation across the BA team; reviews and quality-assures deliverables produced by team members • Leads requirements gathering and analysis for complex, high-impact solutions and system implementations; delegates and oversees similar workstreams managed by BAs on the team • Collaborates with stakeholders to identify business needs and translate them into functional specifications; guides BAs in applying the same approach on their respective projects • Ensures alignment between business objectives and technical solutions at a portfolio level, and supports BAs in achieving the same on individual initiatives • Proactively identifies and mitigates functional risks that could impact solution scalability or user adoption; instills risk-awareness disciplines within the team • Acts as an escalation point for the BA team on complex analytical, stakeholder, or delivery challenges • Establishes pre-implementation baselines to ensure measurable comparison against post-launch outcomes; coaches BAs on applying this approach consistently • Develops and implements frameworks to measure solution effectiveness and ROI; ensures the team applies and iterates on these frameworks across all initiatives • Defines KPIs and success metrics for new initiatives; reviews and approves metrics defined by team BAs to ensure rigour and alignment with organizational goals • Creates dashboards and reports to track adoption rates, performance improvements, and business outcomes; guides team members in developing similar reporting capabilities • Conducts post-implementation reviews and recommends optimization strategies; facilitates retrospectives with BAs to embed continuous improvement as a team discipline • Validates data integrity within dashboards to ensure senior management is making decisions based on single source of truth metrics; holds the team accountable to the same standard • Partners with cross-functional teams at a senior level while supporting BAs in managing their own stakeholder relationships effectively • Translates complex data into compelling narratives and actionable insights for executive leadership; coaches BAs in developing this communication skill • Presents findings, recommendations, and impact assessments to senior management; prepares and supports BAs in delivering similar presentations where appropriate • Manages expectations and communicates project status effectively across multiple concurrent workstreams, and ensures the BA team does the same on their portfolios • Champions the role and visibility of the BA function internally, advocating for appropriate resourcing and recognition of the team’s contributions • Provides ongoing coaching, structured feedback, and performance guidance to BAs on the team; supports their growth toward greater autonomy and seniority • Facilitates team rituals such as knowledge-sharing sessions, peer reviews, and workshops to build collective capability and foster a collaborative team culture • Partners with the BA Team Leader to identify skills gaps, contribute to hiring decisions, and shape team development plans • Supports onboarding of new BAs, ensuring they are equipped with the tools, frameworks, and context needed to contribute effectively from day one • Complies with all internal rules and regulations of the Company.