Business Analyst
Horizontal Talent

Job Description:
How Is This Role Important to Our Work?

• The selected resource will support the evaluation of the prior authorization list by line of business.
• This position is responsible for the analysis, development, support, reporting and coordination of business workflow automation and to implement efficient business processes at an enterprise level.

A Day in the Life:

• Use the existing prior authorization calculator tool to make recommendations on prior authorization list changes
• Intake and review list suggestions and inquiries from stakeholders
• Support completion of business case documentation to align with changes that come out of evaluation process
• Shephard the business cases through the various committee approvals to implementation
• Conducts in-depth research and analysis.
• Identifies trends, emerging issues and recommends best practices to ensure maximum results and develops metrics.
• Documents metrics and process changes.
• Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.
• Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
• Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
• Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
• Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
• Serves as senior subject matter expert associated with content, processes, and procedures.
• May lead project teams and may provide training to staff to achieve project milestones and objectives.

Required Skills and Experiences:

• 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Registered Nurse with strong understanding of policy development and coding
• Advanced collaborative, interpersonal, oral and written communication skills and demonstrated ability to develop accurate and appropriate communications.
• Advanced ability to communicate to all levels of management.
• Advanced research, analytical and problem solving skills.
• Advanced skills in Microsoft Excel, Word, and Access.
• Strong ability to make decisions based on analysis and business needs.
• Advanced ability to bring a different perspective to situations and challenge the status quo.
• Project management skills.
• Proven ability to work independently with guidance in only the most complex situations.

Nice to Have:

• Bachelor's degree.
• Working knowledge of SAP, Visio, or other software programs.
• Bachelor's or Master's degree in a health-related field, such as nursing.ess Lead on various projects and work assignments.

This job has expired.