Senior Business Analyst

Samaritan Health Services Corvallis , OR 97333

Posted 1 week ago

Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services# self-funded employee health benefit plan. # As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services# mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin The ideal candidate possess the following: # - Demonstrates up-to-date expertise in Information Systems database analyst skills and applies this knowledge to the development, implementation, and improvement of action plans by providing advice and guidance to others in the application of# # # information and best practices. Skills in project management methodology and database design principles are preferred.# â # #-#Identifies, creates, and facilitates process design changes by conducting business and systems process analysis and design at a complex level. Focuses on quality improvement and data management, ensuring data is reliable and valid. Develops # # #process improvements or re-engineers and recommends elimination. Integrates new systems and processes with existing ones. Partners with internal/external customers to ensure systems provided meet the long-term business strategies.# â # #- Provides project level analysis # producing required project analysis documentation (business requirements, scope matrix, use cases, sequence diagrams, future state proposals, and user acceptance test (UAT) plans).# # #- â Collaborates closely with developers to implement the requirements, providing necessary guidance to testers during the quality assurance and UAT process.# # JOB SUMMARY/PURPOSE Responsible for reviewing assigned business processes from end-to-end to identify and address operational, clinical, financial and technological risks. Identifies opportunities to improve efficiency. Responsibilities include full range of activities from leading small to large scale projects to assisting other project managers on complex interdepartmental projects related to organization operational business functions that affect team members and providers at the industry level. # EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor#s degree required. Master#s degree preferred. Four (4) years business analysis and/or business systems analysis project coordination related experience required. A Master#s degree in a related field may be substituted for two (2) years experience. Experience working on large scale projects as well as handling day-to-day operational requests from the business required. Advanced experience and/or training in SQL and Microsoft Excel required. # KNOWLEDGE/SKILLS/ABILITIES Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities. Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions. # PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 # 100% of the time) CLIMB - STAIRS LIFT (Floor to Waist: 0#-36#) 0 - 20 Lbs LIFT (Knee to chest: 24#-54#) 0 # 20 Lbs LIFT (Waist to Eye: up to 54#) 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) STAND WALK # LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

  • Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.

As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together.

This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin

  • The ideal candidate possess the following:

    • Demonstrates up-to-date expertise in Information Systems database analyst skills and applies this knowledge to the development, implementation, and improvement of action plans by providing advice and guidance to others in the application of
  • information and best practices. Skills in project management methodology and database design principles are preferred.

  • â - Identifies, creates, and facilitates process design changes by conducting business and systems process analysis and design at a complex level. Focuses on quality improvement and data management, ensuring data is reliable and valid. Develops

  • process improvements or re-engineers and recommends elimination. Integrates new systems and processes with existing ones. Partners with internal/external customers to ensure systems provided meet the long-term business strategies.

  • â - Provides project level analysis - producing required project analysis documentation (business requirements, scope matrix, use cases, sequence diagrams, future state proposals, and user acceptance test (UAT) plans).

    • â Collaborates closely with developers to implement the requirements, providing necessary guidance to testers during the quality assurance and UAT process.
  • JOB SUMMARY/PURPOSE

  • Responsible for reviewing assigned business processes from end-to-end to identify and address operational, clinical, financial and technological risks. Identifies opportunities to improve efficiency. Responsibilities include full range of activities from leading small to large scale projects to assisting other project managers on complex interdepartmental projects related to organization operational business functions that affect team members and providers at the industry level.

  • EXPERIENCE/EDUCATION/QUALIFICATIONS

  • Bachelor's degree required. Master's degree preferred.

  • Four (4) years business analysis and/or business systems analysis project coordination related experience required. A Master's degree in a related field may be substituted for two (2) years experience.

  • Experience working on large scale projects as well as handling day-to-day operational requests from the business required.

  • Advanced experience and/or training in SQL and Microsoft Excel required.

  • KNOWLEDGE/SKILLS/ABILITIES

  • Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.

  • Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.

  • PHYSICAL DEMANDS

  • Rarely

(1 - 10% of the time)

Occasionally

(11 - 33% of the time)

Frequently

(34 - 66% of the time)

Continually

(67 - 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

BEND FORWARD at waist

KNEEL (on knees)

STAND

WALK - LEVEL SURFACE

ROTATE TRUNK Standing

REACH - Upward

PUSH (0 - 20 pounds force)

PULL (0 - 20 pounds force)

SIT

CARRY 2-handed, 0 - 20 pounds

ROTATE TRUNK Sitting

REACH - Forward

MANUAL DEXTERITY Hands/wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand/Fist


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