Business Analyst

Smithfield, Rhode Island

 Saxon Global
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Duties and Responsibilities:
  • Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes
  • Work with key project stakeholders to formulate and communicate business requirements and scope of project
  • Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand
  • Perform all configuration changes within applicable software test environments
  • Responsible for configuration, interface and application testing
  • Develop and execute test cases and documentation to support configuration changes/updates/additions
  • Work with stakeholders to validate test case results
  • Coordinating and documenting for all configuration activity for change control and auditing
  • Responsible for coordination of production turnover of all configuration work upon business owner sign off
  • Serve as subject matter expert for root cause analysis and issue resolution
  • Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments
  • Perform business analysis duties for designated corporate projects and maintenance requests
  • Oversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documented
  • Identify potential areas of automation and aid in re-engineering the underlying business processes
  • Recommend and maintain standards for development of business cases and their documentation
Qualifications

Required:
  • Associates degree and/or years of experience and background to equate to the degree
  • Minimum of two years of business analysis and system configuration experience; or similar demonstrated experience working with health care claim processing
  • Prior experience in a Health Care organization or setting
  • Benefit and contract configuration experience
  • Experience with Health Rules or Facets
  • Experience with SQL queries
  • Excellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectively
  • Demonstrated ability to manage multiple priorities simultaneously in a deadline driven environment
  • Proficient in MS Project, Excel, PowerPoint and Word
  • Strong communication skills, both verbal and written
Preferred:
  • Experience with Acuity software
  • Experience with Optum CES (Claims Editing Software)
  • Experience with Crystal reports/letters
Date Posted: 14 May 2025
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