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.
" Provide timely and accurate access to data, distribute reports and present/explain results to business area supported as well as to other BCBSNC areas. " Work with trainers to develop training programs that target problem areas.
" 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.