Job Closed
This listing is no longer active.
Transforming the health of the communities we serve, one person at a time.
Business Analyst III, Medicare VBC
Location
Florida
Posted
110 days ago
Salary
$70.1K - $126.2K / year
Seniority
Senior
Job Description
Business Analyst III, Medicare VBC
Centene Corporation
• Perform various analysis and interpretation to link business needs and objectives for assigned function • Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups • Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data • Translate data into insights to support corporate leadership, health plan leadership, and provider partners • Identify and analyze user requirements, procedures, and problems to improve existing processes • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations • Identify ways to enhance performance management and operational reports related to new business implementation processes • Coordinate with various business units and departments in the development and delivery of training programs • Develop, share, and incorporate organizational best practices into business applications • Diagnose problems and identify opportunities for process redesign and improvement • Formulate and update departmental policies and procedures • Serve as the subject matter expert on the assigned function product to ensure operational performance • Ability to travel • Performs other duties as assigned
Job Requirements
- Bachelor’s degree in related field or equivalent experience
- 4+ years of business process analysis (i.e. documenting business process, gathering requirements)
- Experience in healthcare industry, preferably with managed care techniques and administrative philosophy
- Experience in managed health care experience, preferably with Medicare
- Experience working with and leading diverse teams in matrix managed environments
- Project management experience preferred
- Advanced proficiency in Microsoft Excel and Power BI preferred
- Experiencing leveraging SQL, SAS to access enterprise data warehouses preferred
- Strong experience in understanding provider performance metrics, including Stars, HBR, Risk Score, Compliance rates, and APV rates preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Related Guides
Related Categories
Related Job Pages
More Business Analyst Jobs
Business Analyst
GuidehouseSolving big problems, building trust in society, and empowering our clients to shape the future.
• The Business Analyst will be working on a project to implement capabilities for an enterprise financial software system and web application on an Agile product development team • They analyze requirements, develop user stories, and work closely with stakeholders, UX designers, application architect, and developers to ensure technical and system requirements are accounted for • The analyst will also work closely with the Scrum Master and Product Owner to plan and organize Sprints • Critically reviews, analyzes, and evaluates business systems and user needs, ultimately producing clear user stories, documentation, and other deliverables such as use cases, flow diagram, architecture diagrams etc • Facilitates discussions with the right stakeholders to clarify the scope • Works closely with product owners and managers to convert business requirements use cases into actionable tasks for the development team • Writes high quality user stories and ensures stories are refined and pointed in a timely manner to enable planned milestones • Leads and executes efforts to produce documentation related to system information architecture and processes which may include: technical requirements, functional specifications, data flow diagrams, high-level test cases, requirements traceability matrices, flow charts, wireframes/mockups, user stories, and use case documentation • Conducts presentations and communicates product features to both technical and non-technical communities and aids in the coordination and communication of cross-team initiatives • Paving and planning for technical project execution, tracking, presenting, and incorporating data-driven metrics to drive improvements, defining and recording current and future business processes and identifying potential improvements • The position will require working closely with Program and Project Managers and Project Architect / Technical Lead • Liaise with internal and external project stakeholders to help coordinate agile across the large program • Work with Product Owner to ensure a groomed, quality Agile backlog • Maintain project life-cycle documentation and tactical and strategic project tracking systems, primarily Atlassian Confluence, Jira, and Portfolio • Prepare and deliver status updates, working sessions, and program area updates
• Demonstrate ability to fulfill responsibilities of the Business Analyst Associate • Identify and document emerging business requirements • Intelligently question business partner and knowledge worker preferences to identify unique value drivers • Properly prioritizes business lines and enterprise demands • Accurately translates business requirements into functionality • Manages requirements to meet performance expectations • Understands industry-specific trends that impact the organization • Clearly articulates benefits in business language • Manage ambiguity and create accurate project effort estimates • Accurately quantifies project-specific risks through the development lifecycle • Identifies solution interdependencies • Stays abreast of and creates awareness of technology developments related to business requirements • Identify commonalities and suggests a consistent approach across projects in the absence of standards • Guide team decision making • Provide stakeholders with accurate view of challenges • Effectively navigate conflict between multiple stakeholders • Shares best practices, process, and environmental knowledge
• Lead requirements discovery and analysis efforts for insurance and e-commerce initiatives. • Partner with business, product, compliance and IT teams to translate business needs into functional requirements, user stories and process flows. • Analyze insurance operations including policy lifecycle, enrollment, billing, claims and regulatory requirements. • Support e-commerce capabilities such as online quoting, enrollment, payments, customer self-service and digital integrations. • Document current-state and future-state processes, identifying opportunities for optimization and scalability. • Facilitate workshops, backlog refinement sessions and solution reviews, while supporting UAT planning, execution and defect resolution.
Senior Business Analyst – Travel Technology
Internova Travel GroupInternova Travel Group delivers expertise to corporate, leisure, and luxury clients through its 6,000+ company-owned, affiliated, and franchised travel agencies
• The Business Analyst – Travel Technology is responsible for analyzing, documenting, and supporting mid-office technology, agent systems, and applications used across the Global Travel Collection. • Act as a key liaison between business stakeholders and technical teams, ensuring that business requirements are accurately translated into functional and technical solutions that improve agent workflow, automation, client service, and operational quality. • Supports both leisure and corporate travel divisions by driving productivity-enhancing initiatives, overseeing system enhancements, and ensuring the successful delivery of projects related to quality control systems, automation, and integration with third-party travel technology providers. • Receive, review, and analyze service requests from internal departments including Sales, Finance, IT, Revenue Management, Reporting, Business Operations, and external clients. • Elicit, document, and validate business requirements from key stakeholders for new system implementations, enhancements, and process improvements. • Translate business needs into clear functional requirements, Statements of Work (SOW), process flows, use cases, and technical task lists. • Analyze current-state workflows and systems, identify gaps, and define future-state solutions. • Clearly communicate desired functionality versus existing system behavior to technical teams and vendors. • Provide second- and third-level support by analyzing system issues, identifying root causes, and recommending solutions. • Collaborate with supplier partners (e.g., Concur Compleat, Booking Builder, MagnaTech, Sabre, Worldspan) on system enhancements, integrations, and issue resolution. • Support testing efforts by developing test scenarios, validating system changes, and ensuring requirements are met prior to deployment. • Manage and prioritize multiple concurrent projects across departments and systems. • Track requirements, dependencies, risks, and delivery timelines to ensure on-time and high-quality execution. • Produce and maintain comprehensive documentation including requirements documents, process maps, system specifications, and user guides. • Communicate project status, risks, and changes clearly and proactively to stakeholders. • Facilitate and participate in meetings, workshops, and walkthroughs related to system functionality, integrations, and business processes.




