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United States of America (English) Change
 

Boca Raton FL
Full Time Posted: Friday, 3 May 2013
Applicants must be eligible to work in the specified location
Reporting Business Analyst II

Job ID 2013-22336 # Positions 1
Location US-FL-Boca Raton
Search Category Information Technology
Type Regular Full-Time (30+ hours)
Additional Locations ..

More information about this job:
Summary:
Gathers requirements, performs analysis, supporting the development and testing processes of assigned functional area and incorporating the applications, data, and associated technologies for supported areas. Analyzes and reports on simple to moderately complex business problems to be solved with automated systems or other resources. Researches, plans, coordinates and recommends software and system choices to meet the company's business requirements. Utilizes knowledge and skills to address business challenges to improve efficiency and decision making, reduce redundancy, and enhance business results.

Responsibilities:
1. Perform requirements gathering, analysis, and process and data flow diagramming for simple processes of low to moderate complexity.
2. Work with business owners to analyze requirements and processes and with Information Technology as an advocate to ensure quality and timeliness of systems/project deliverables.
3. Use Standard Development Life Cycle (SDLC) methods or industry best practices. Understand strategic alignment of configuration solutions with business objectives.
4. Makes recommendations for the Resolution of moderately complex design and functional area organizational issues utilizing software and business development life cycle and development methods.
5. Read and interpret conceptual, logical, and physical models to include context diagrams, data flow diagrams, process flow diagrams, data dictionaries and logical flow charts.
6. Evaluate and test moderately complex new/modified programs, applications and/or operating systems to ensure adherence to operational specifications. Document and track product defects. Coordinate problem resolution with development and/or product vendors.
7. Design low to moderately complex system configuration based upon business requirements ensuring optimization of auto-adjudication. Draft and maintain design documentation for all projects.
8. Read and interpret a design document.
9. Configure all approved system changes and settings.
10. Develop and run moderately complex queries and reports for business analysis and trends.
11. Assist in the development of functional test plans used to verify specific system functions according to actual requirements and established guidelines.
12. Ensure compliance of current license and support agreements and requirements are met.
13. Functions as a liaison for IT and the business and other cross functional resources and departments.
14. Manage multiple priorities.
15. Perform other duties as assigned.

Qualifications:
EDUCATION AND EXPERIENCE
Education
Required:
- Bachelor's degree in Business Administration, Management Information Systems, Computer Science or a related discipline. Equivalent experience in a Business or Systems Analyst role is acceptable in lieu of a degree(s).

Years and Type of Experience Required:
Required:
- Three years experience in systems analysis, or business analysis.

Certifications or Licensures
Preferred:

- CCBA certification (Certification of Competency in Business Analysis).

Language Skills
Required:

- English

Technical Competencies
- Demonstrate a basic understanding of core applications and systems.
- Demonstrate proficiency with all applicable company supported software applications.
- Able to provide professional and appropriate written information to internal and external customers.
- Basic understanding of infrastructure associated with supported applications.
- Basic knowledge of current technology trends.
- Able to develop and maintain customer relationships.
- Able to identify, analyze, and solve problems and to work with teams to solve problems.

Computer Skills and Office Equipment - Intermediate
- Ability to use software and hardware of a computer to complete certain simple to moderately-complex tasks. Skills to use basic office equipment such as telephone, fax machine and copy machine. Working knowledge in a windows environment to include navigation skills using a mouse and keyboard. Use of Internet. Ability to review and draft correspondence in email system and word processing systems. Ability to use spreadsheets to review, organize and edit data. Ability to use software to conduct data analysis, reporting and sharing of information to solve problems.

Spreadsheet Utilization and Management - Intermediate
- Proficient in use of spreadsheet applications such as Excel including ability to use large data sets, filters to find specific data in a large list and calculation tools.

Database Utilization and Database Management
- Familiar with the concept of databases. Basic understanding of data architecture. Basic understanding of database tables, relations, data types, and values.

Systems - Intermediate
- Understanding of system's utilization and proficient retrieval of information and processing of the following systems:
- NetworX/Facets - build pricing based on provider contracts using Facets applications. Build benefit plans based on State regulations using Facets benefit applications.
- MACESS - contracts and claim images are stored. MACESS Workflow tool for contract life cycle.
- Software products from Ingenix for prospective payment system (PPS) - pricing.
- Clearquest is used to track projects -knowledge and familiarity using a project inventory tracking system.

Applications/Tools - Intermediate
- Ability to leverage available tools such as:
- TOAD, UltraEdit, Microsoft Project, Microsoft query analyzer SQL mgr, VISIO, (Google), Internet Search, Internet research, use and understand generally accepted templates and BA tools. Powerpoint. SDLC (software development life cycle), TeamTrack, SharePoint, Ability to go through CNR (change notification request) process.

Industry Knowledge & Familiarity - Basic
- General understanding of the healthcare industry including, how the industry works, how claims are paid, who are providers (hospitals phy ofc, ancil), and who are payors (insurance companies). Basic knowledge of the inter-relationship among various managed care operational areas.

Gather and Document Requirements - Intermediate
Ability to prepare simple to moderately-complex requirements documents. Ability to facilitate requirements gathering including determining the most efficient and effective way to capture the requirements, and managing kick off and subsequent status meetings. Ability to manage timelines and due dates. Ability to recognize and understand business changes that impact requirements and incorporate changes into documentation. Ability to read and re-read requirements documents multiple times while maintaining detail orientation.

Contracts - Intermediate
- Ability to read a contract and understand the operational requirements the contract creates. Read, review and understand a contract and tease out requirements from legal verbiage. Contracts are tedious and incumbent needs to be detail oriented and have ability to synthesize what they are reading into action, rules, requirements.

Business Analysis and Problem Solving-Analytics
- General skills applying critical thinking, problem solving and data analytics. Able to initiate conceptual ideas with practical applications.

Project Management - Intermediate
- Skilled in running a project utilizing standard project management tools, techniques and methodology. Keeps projects on task. Able to develop and implement basic project plans.

Testing - Intermediate
- Functions independently in the creation of simple to moderately-complex test plans, including creation of test cases/scripts, setting up data for testing, validation, analysing test results, integration, end-to-end testing, user acceptance testing (UAT), regression testing, documentation of results and presentation of results to user.

Behavioral Competencies
Strategic Leadership
Be Strategic
- Demonstrates understanding of the organization's mission and strategies.
- Works to clarify and understand the broader purpose and mission of own work.
- Integrates and balances big-picture concerns with day-to-day activities.
- Generates innovative ideas and solutions to problems.
- Identifies opportunities to increase efficiency, simplicity, and revenue.

Make Sound Decisions
- Approaches problems with curiosity and open-mindedness.
- Collects sufficient information to understand problems and issues.
- Analyzes problems and issues from different points of view.
- Applies accurate logic and common sense in making decisions.

People Leadership
Develop/Support Organizational Talent
- Relates to people in an open, friendly, and accepting manner.
- Treats others with respect.
- Listens carefully and attentively to others' opinions and ideas.
- Maintains positive relationships even under difficult or heated circumstances.
- Works cooperatively with people from different cultural backgrounds.

Ensure Collaboration
- Encourages people to draw on each other's strengths and experience to work together effectively, within and across teams.
- Appropriately involves others in decisions and plans that affect them.
- Provides honest, helpful feedback to others on their performance.
- Shares own experience and expertise with others.

Results Leadership
Show Drive and Initiative
- Demonstrates a "can-do" spirit, a sense of optimism, ownership, and commitment.
- Maintains a consistent, high level of productivity.
- Takes personal responsibility to make decisions and take action.
- Does not easily give up in the face of unexpected obstacles.
- Projects a positive image and serves as a role model for others.

Accountability/Optimize Execution
- Juggles many priorities and competing demands for one's time.
- Acts resourcefully to ensure that work is completed within specified time and quality parameters.
- Removes obstacles in order to move the work forward and/or get efforts back on track.
- Surfaces problems and issues before projects get derailed.

SCOPE INFORMATION
# Direct Reports:
# Indirect Reports:
Budgetary $ Responsibility: $0 - $300k

PHYSICAL REQUIREMENTS
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices.
- Ability to communicate both in person and/or by telephone.
- Must be able to travel as needed and adhere to Amerigroup travel policies and procedures.

Boca Raton FL, United States of America
Amerigroup
Amerigroup
JS22336
5/3/2013 3:04:49 AM

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