Healthcare Business Analyst (Care Management)

Care Management/Utilization Management (UM) project experience, Care Optimization
Contract Independent, Contract W2, C2H Corp-To-Corp, C2H Independent, C2H W2, 6-12 Months+
Work from home not available Travel not required

Job Description

Business Analyst (Healthcare Utilization Management)

#JP –HC89 (8253/8254)



Duration: 3-12 Months+


We have four new opportunities for Healthcare Business Analysts to work in either the Richardson, TX or Chicago, IL areas.  This team of Business Analysts will work on projects involving Utilization Management (UM) and/or Care Orchestration within the healthcare insurance industry.



  • Serves as a liaison between the healthcare business community and the IT organization in order to provide technical solutions to meet user needs
  • Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization’s systems and capabilities.
  • Analyzes business partner’s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions
  • Assists in the business process redesign and documentation as needed for new technology
  • Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications
  • Educates the IT organization on the direction of the business
  • Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation
  • Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise’s competitive edge
  • May make recommendations for buy versus build decision
  • Requires knowledge and experience in own function; still acquiring higher-level knowledge and skills
  • Builds own knowledge of company, business processes and customers
  • Analyzes possible solutions using standard procedures
  • Receives a moderate level of guidance and direction
  • Clear and concise verbal and written communication skills
  • Experience with multiple full lifecycle software projects with strong understanding of how each phase fits into the overall lifecycle
  • Experience in documenting system/project requirements, developing test plans and using requirements management tools
  • Experience with business modeling tools (i.e. Visio) and various methodologies/frameworks
  • Knowledge of facilitation process or Facilitation and leadership skills
  • Experience in managing multiple projects simultaneously
  • PC proficiency to include but not limited to MS Office
  • Experience with documentation of User Acceptance Test Plans and Test Cases
  • Define and document requirements utilizing standardized tools and techniques
  • Obtain consensus by facilitating communication and sign-off between Business, IT (Internal client and External Vendors) from initial requirements to final implementation
  • Function as a key contributor to the Release Management Team, promoting both business and IT requirement understanding and agreement
  • Escalate Requirement and Testing issues and changes to Requirements and Testing Support Manager
  • Schedule and facilitate Functional Team meetings


Requirements and Preferences:

  • Healthcare industry experience (required)
  • Utilization Management (UM) / Care Management experience (Highly preferred)
  • EDI experience, i.e. data transfer experience, project data analysis, etc. (preferred)
  • User Stories, requirements gathering (required)
  • Agile / Scrum / Sprints (required)
Dice Id : makecorp
Position Id : JP-HC89
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