Hybrid 2-3 days / week onsite at Durham, NC
Top 3-4 Required Skills:
• Healthcare Insurance experience
• Process mapping
• Requirements elicitation
• Strong Excel/data skills
• Excellent documentation
• Cross-functional facilitation
Nice to have Skills:
• Healthcare payer / ASO experience
• Billing / Finance workflow experience
• Power BI
• Jira
• SharePoint
• Regulatory/compliance implementation
• SQL
• State-mandate experience
• Health insurance assessments/fees
• Blue-plan experience
Years of Experience: 3-5
Breakdown of Duties/Typical Day:
• Document the current state and identify process, ownership, data and control
gaps.
• Design the future-state operating model across Compliance, Legal, Sales,
Finance and Data/Reporting.
• Define business and data requirements supporting intake, applicability, reporting,
payment, billing, reconciliation and audit.
• Establish reusable documentation and governance tools, including process
maps, RACI, decision/RAID log and requirements/backlog.
• Transition the model into an executable implementation plan that Compliance
team and the business can maintain after the contractor exits.
Description:
• Elicit, document and track requirements for changes to business processes, policies, information, and information systems for intermediate level business problems.
• Develop and elicit requirements for departmental and some corporate projects as requested by internal/external customers; prepare business and functional requirements.
• Communicate and validate requirements with stakeholders and identified SMEs.
• Collaborate with project teams to adhere to solution scope and maintain requirements traceability.
• Support and execute business readiness activities including the communication plan to support changes to technology, processes and people.
• Develop new procedures, specifications for system changes or recommendations for product and/or process changes. Facilitate the implementation of changes with management and staff.
• Design customer feedback mechanisms to gather ongoing information about business processes. Analyze results and creates plans to address weaknesses.
• Develop and maintain reporting tools for use in measuring business area performance against metrics/industry benchmarks and ensuring data integrity and systems stability in support of operations management.
• Use industry standard analysis techniques such as data flow modeling, use-case analysis, workflow analysis, business process mapping, functional decomposition analysis/or financial ROI modeling for initiatives that are at an intermediate level.
• Support business vendor relationships by documenting business issues, determining project needs, and supporting training as needed.
Perform peer reviews of less experienced analysts’ work as needed.
Hiring Requirements
• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field.
• In lieu of degree, 5+ years of experience in related field.
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
