Eligibility Senior Business Systems Analyst (BSA) at Beacon Health Options in Latham, NY

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Beacon Health Options

Job Category: Operations - General
Req #: ELIGI01676
Schedule: Full Time
Location: NY - Latham

About the Position:

Beacon Health Options is currently seeking a dynamicSenior Business Systems Analystto join our Eligibility team in Latham, NY;Woburn, MA;Cypress, CA;Coral Gables, FL;or remotely! This Senior BSA role requires cross-functional collaboration with internal and external stakeholders from both business and development teams to address process deficiencies, improvement initiatives and new business.

The Senior BSA is responsible for the timely and accurate completion of eligibility deliverables to customers for all divisions, as assigned. Through this task/project-based exposure, the Senior BSA is expected to develop subject matter expertise of the business and technical domains, including application data elements and Eligibility process workflows. Through research and analysis, the Senior BSA will provide data-driven insight to define solutions, resolve issues and inform the strategic direction, exercising both attention to detail and high-level understanding of process impacts to support operations and business objectives, ensuring high quality delivery and adherence to industry and operational standards.

*This position has the possibility to be a remote opportunity*

Position Responsibilities:
  • Act as liaison between business and technical partners to define, document and review business and system requirements, for new business and issue resolution
  • Exercise in-depth knowledge of data exchanges and good judgment in evaluating requests - with appropriate escalation to management, as needed
  • Train, mentor and perform peer review testing for lower-level BSA staff
  • Leverage data from multiple sources to analyze existing business processes and evaluate operational deficiencies. Understand data standards and identify data abnormalities to provide process improvement recommendations
  • Create workflow, state, and process diagrams
  • Perform system configuration updates, crosswalk updates, and scripted data updates
  • Maintain close alignment with all internal and external stakeholders with appropriate levels of communication cross-functionally and across management levels
  • Effectively manage multiple concurrent projects and deliverables with competing priorities and deadlines
  • Ensure that established timelines and resolution turnaround times are monitored, met, and reported regularly, with timely updates documented in the JIRA database and ServiceNow incident/request reporting system, as appropriate
  • Monitor and work the error recycle of file loads for assigned clients to identify trends and maintain low error volume
  • Conduct discovery meetings to gather requirements and participate in design strategy, applying industry standards and best practices to identify solutions and apply protocols and system controls
  • Clearly define, document and analyze detailed use-cases, business requirements, and data mapping and technical specification documents
  • Design and execute test strategy, including test plan, test scenarios/cases, and test scripts. Synthesize and publish the results
  • Define acceptance criteria and identify gaps to ensure high data quality in all solutions delivered
  • Collect all required project documentation and sign-offs
  • Perform other duties as needed and assigned

Position Requirements:
  • Education:Bachelor's Degree or higher in a quantitative or analytical discipline required or the equivalent experience in a related field required
  • Relevant Work Experience: 5+ years of experience in related business systems analyst role required, preferably in a healthcare or health insurance environment
  • Knowledge, Skills, & Abilities:
    • Demonstrated ability to work effectively independently and as part of a team
    • Demonstrated effective verbal, written, and interpersonal communications skills
    • Demonstrated commitment to continuous improvement in a dynamic environment
    • Demonstrated effective prioritization and task management, and familiarity with all phases of the project lifecycle
    • Demonstrated knowledge and experience with standard EDI transactions and proprietary files for Eligibility
    • Demonstrated knowledge and understanding of HIPAA and Regulatory Compliance
    • Intermediate Experience with analytical programming languages such as SQL, to run queries and create reports
    • Intermediate Experience with MS Visio and MS Office applications

To Apply:

Click below on "Apply for this Position" to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.





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