Senior Health Care Systems Analyst

Our client, a nationally recognized and award-winning company in the health insurance vertical, has a contract opening for a Sr. Health Care Systems Analyst. They have over 4 million customers and 5,000+ employees dedicated to providing innovative solutions that simplify the healthcare system, improve efficiency and outcomes while reducing costs.

Location: ** While the position is Remote, work from home, you must reside in North Carolina or one of the following states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.

Required Skills:

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in Systems Analysis
• In lieu of degree, 7+ years of experience in Systems Analysis
• Health Care experience (prefer experience working at a payer)
• FHIR, Clinical Data Exchange and Clinical Interoperability
• Experience with CMS
• Epic Bridges Certificate
• Payer Platform Core Certificate / CAQH Core Certificate
• JIRA

Preferred Skills:

• Payer Platform Membership Experience Badge

What you will be doing:
In this role you will be responsible for the elicitation, prioritization, and conversion of business/functional requirements to system requirements as it relates to Clinical Interoperability and integration point of view.

Responsible for the development of functional designs for new, customized, or enhanced systems. The ultimate outcome of this role is the production of clear, timely, precise and accurate technical designs that are traceable to documented business/functional requirements and guide the successful design, development and deployment of solutions.

What You Will Do
Coordinate Analysis and Functional Design:

• Quickly understand larger and/or more complex business issues and data challenges on the Clinical Interoperability. Critically evaluate information gathered from multiple sources, reconcile conflicts, and decompose high-level information into details; abstract up from low-level information to a general understanding.
• Utilize expertise in analyzing end to end business and technical flows, including impacts to operations.
• Review, edit, and prioritize business requirements, specifications, processes and recommendations related to proposed solution. Distinguish user requests from the underlying true business need.
• Translate business/functional requirements into system level functional solutions using various techniques that include: interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, screen interface prototypes, demos, and/or business, task, and workflow analysis.

Coordinate Technical Recommendations and Traceability

• Guide project personnel to identify required system changes, additions or retirement. Conduct gap analysis for business/functional requirements and current system functionality, with support, review and input from other Technical staff.
• Collaborate with business analysts, designers, developers and subject matter experts to establish the technical vision and analyze tradeoffs between usability and performance needs. Provide expertise for dividing the project into multiple phases based on the business priorities, design, schedule, and level of effort.
• Ensure traceability from business/functional requirements through development of the solution, to confirm system functionality and ensure the completed system fulfills the goals of the project as detailed in the specifications.

****To be eligible to contract at this client you must be able to pass a drug test and criminal background check