Business Analyst (MES), Mid

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Business Analyst Mid (MES) to join our growing team.

Job Summary:

The Business Analysis, Mid shall assist in analyzing business problems, identifying gaps, and providing business support in areas around basic to moderate information systems. This role support with several requirements throughout the project life cycle and involves an understanding of applicable business/provider enrollment systems and related subsystems; provide day-to-day support on State program activities.

Responsibilities:

Functions as an individual contributor and works under moderate supervision with clearly defined guidelines and direction.

• Works with customers on presenting technical solutions for complex business functionalities.
• Possesses unwavering commitment to customer service and operational excellence.
• Provides customer support through leading customer demos and presentations.
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases.
• Creates and modifies Business Process Models.
• Understands the overall system architecture and cross-functional integration.
• Demonstrates in-depth knowledge of business analysis relates to claim adjudication, Medicare guidelines and reimbursement methodologies.
• Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers.
• Possesses in-depth knowledge and is well-versed in multiple functions or capabilities.
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications.
• Analyzes user requirements and customer business needs, leveraging expert opinion and expertise.
• Acts as the requirements subject matter expert and supports requirements change management.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Required Qualifications:

• Bachelor's' Or Masters degree with 3+ years of business analysis experience
• Minimum 3 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
• Strong knowledge in Medicare policies and guidelines.
• Strong knowledge in claims adjudication and validations.
• Strong knowledge in Medicare Reimbursement methodologies.
• Strong Business Analysis Process (SDLC, documentation procedures) experience.
• Excellent customer relation skills including presentation and meeting facilitation.
• Experience facilitating and running customer facing requirements and design sessions.
• Excellent requirements elicitation and validation skills.

Preferred Qualifications:

• Strong knowledge and proficiency in SQL.
• Strong technical and database knowledge
• Knowledge of data integration and software enhancements/planning.
• Knowledge in additional claims processing sub-systems like provider, and eligibility.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."