BA 3/WI/Government


• Qualification:
3 to 5 years of experience performing a business analyst role supporting health care business and system in one or more of the following functional areas:
– Provider management
– Member (recipient) eligibility and enrollment
– Claims and encounters
– Benefit plan administration
– Service authorization
– Financial services
– Decision support system/data warehouse
– Pharmacy benefit management
– Program integrity and utilization management

Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business strategies. Experienced with business process re-engineering and identifying new applications of technology to business problems to make business more effective. Familiar with industry standards, current and emerging technologies, and business process mapping, and re-engineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc. Develops RFPs. Business Analyst/Consultant capabilities with 8 or more years of experience in the field or in a related area. Relies on experience and judgment to plan and accomplish goals. Independently, performs a variety of complicated tasks. A wide degree of creativity and latitude is expected.

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