For the given job description <<Job Description
Business Analyst
Lead II - Business Analysis
Who We Are
Advantasure is a growing company and a member of the UST HealthProof family, Advantasure champions innovative solutions with an eye on the futureproviding health plans with the flexibility to adapt to a changing regulatory environment and evolving business needs. Leveraging the industrys leading experts in government-sponsored health plans, Advantasure offers solutions for administrative cost management, quality patient outcomes and experiences, enrollment growth, risk adjustment, and quality and provider engagement initiatives.
We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.
You Are
The Business Analyst is responsible for ensuring that business requirements are documented, and every functionalbusiness consideration is identified before implementing each project. This position must clearly understand and reviewconfirm with the client and internal departments before functional requirements are finalized - alternative approaches are suggested where viable. The Business Analyst is also responsible for functional requirements that are completely documented and understood, along with innovative solutions with best practices identified and explored for the most prevalent use cases.
The Opportunity
Creates functional specifications. Collects, understands, and transmits business requirements for projects and translates them into functional specifications, database designs, and detailed test plans.Works with client business to understand requirements. Partners with clients to gather all requirements to formulate business process specifications and translates those into application functionality, understanding the value proposition(s) of the project and deciding when to advocate and when to compromise to arrive at mutually acceptable solutions.Works with technical staff to translate requirements. Assists the technical team in translating application functionality into application architecture and the production of system functionality documents.Communicates business directives, goals, and needs to the technical team and serves as a client interface for managing user expectations and client satisfaction.Manages development life cycle. Manages projects and processes as required.Works with the product team to stay abreast of overall product strategy, roadmap(s), and release management processes.Assists in the definition of business cases and Cost-Benefit Analyses that effectively inform prioritization decisions.Support capacity planning to optimize the effectiveness of the department.Assists in the leading organization and execution of user acceptance testing.Ability to learn the resolution of technological challenges such as workflow, scheduling, testing processes, and procedures. Builds relationships with key business unit resources to gain an understanding of overall business unit direction. Partner with internal team members to lead IT activities for small to medium business initiatives using appropriate project management methodologyContributes to status and management reports as required.Participates in configuration changes in systems.
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
What You Need
Ability to be innovative, creative, and think outside of the box when presented with roadblocks.Ability to solve practical problems in potentially chaotic environments Ability to learn the resolution of technological challenges such as workflow, scheduling, testing processes, and procedures. Ability to understand impacts on other areas and project interdependencies.Knowledge of Business Models, Process Models, Data Models, Workflow Models, and Object Models as needed.Ability to develop workflow and business rules diagrams in Visio.Ability to interact with clients in difficult situations.Ability to convey pertinent information to the technical team.Strong presentation skills and analyticalproblem-solving skills.Ability to work in both a structured and unstructured environment. Demonstrated excellence in a rapid product-developing environment. Expertise in gathering requirements, designing products (database and UI), and achieving high-quality results within specified timeframes.Knowledge of the application of departmental procedures processes and workflows.Ability to learn how to create functional documents such as requirement documents, statements of work, proposals, use cases, and other technical documentation standards.Knowledge of the current state of the IT industry related to requirements gathering. Ability to learn how to translate business goals into IT demand.Knowledge of project management tools and processes.Functional and technical writing skills.Ability to support projects using a variety of project management methodologies (bi-modal) Ability to learn how to define all levels of business and technology requirements.Strong communication and negotiation skills.Ability to work with and empower others on a collaborative basis to ensure the success of the unit team.Bachelors degree in a related field. A relevant combination of education and experience may be considered in lieu of a degree. Continuous learning, as defined by the Companys learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.4-8 years experience as a Business analyst in healthcare or health insurance, Medicare, and commercial business lines
Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by local law, UST provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York City, or Washington as set forth below.
Role Location: Range of Starting Pay for Role
Remote: $78,000-$118,000
Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits. Depending on the role, some associates may also be eligible for stock options.
What We Believe
Were proud to embrace the same values that have shaped UST and its subsidiaries since the beginning. Since day one, weve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone to champion diversity and inclusion and place people at the center of everything we do.
Humility: We will listen, learn, be empathetic, and help selflessly in our interactions with everyone.
Humanity: Through business, we will better the lives of those less fortunate than ourselves.
Integrity: We honor our commitments and act with responsibility in all our relationships.
Equal Employment Opportunity Statement
UST HealthProof is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
#Advantasure
>> the resume: <<SummaryDedi100 Montgomery St. 10th Floorted Health 100 Montgomery St. 10th Floorre Administrator at improving team productivity, policies, clini100 Montgomery St. 10th Floorl processes, and performance improvement to maintain sustainability, and lowering Readmissions, Length of Stay, and Adverse Events. Patient- Centered focus on all administrative, clini100 Montgomery St. 10th Floorl, and data- driven proficiencies. Helpful, positive, and effective team builder and participant.
SkillsInformation System StrategyPatient 100 Montgomery St. 10th Floorre InitiativesQuality ImprovementWorkflow EfficiencyClini100 Montgomery St. 10th Floorl ProcessLean PerformanceSurvey Readiness and PreparednessDashboard ManagementProblem ResolutionContractsPolicies, Procedures, and ComplianceSupervision & LeadershipRelationship BuildingPlanning & OrganizingMicrosoft OfficeData ManagementTeam Management
ExperienceClini100 Montgomery St. 10th Floorl Data Analyst,01/2022toCurrentNorthwell Health–Port Jefferson,NY,Collected, recorded and analyzed performance data and metrics related to reimbursement for Residents, Intensivists, and Hospitalists.Worked closely with the Director of Quality, Infection Prevention, Chief Medi100 Montgomery St. 10th Floorl Officer, Patient Experience Leadership, Human Performance, and many other department executives.Collaborated with leadership in multiple departments to drive clini100 Montgomery St. 10th Floorl process change initiatives. Clini100 Montgomery St. 10th Floorl Improvement Council.Analyzed information systems and appli100 Montgomery St. 10th Floortions and identified specifi100 Montgomery St. 10th Floortions and metrics for PI projects, with accordance to QAPI.Supported development and appli100 Montgomery St. 10th Floortion of strategic vision for company-wide information system improvements and growth.Drafted training materials, presentations, manuals and SOPs to support informatics policies and procedures.Utilized advanced knowledge of clini100 Montgomery St. 10th Floorl processes and related technology to optimize company health information processes and procedures.Implemented policies and practices to foster patient data privacy and confidentiality.Collaborated in multi-disciplinary teams for survey readiness.Participated and delegated for surveys: CDPH, TJC, DMH, DNV, THK/THA, 100 Montgomery St. 10th Floorrdiology, Chest Pain, Maternity, GACH.Ensured compliance and correcting TJC findings.Created and managed dashboards on Tableau, Excel, and Premier.Reviewed Medi100 Montgomery St. 10th Floorl Charts for Readmissions 100 Montgomery St. 10th Floorses.Worked with Nursing Informatics on NDNQI, Patient Throughput, and ED performances.Collaborated and designated resources for obtaining Magnet Status.Analyze and report out public reporting for CMS 5-Star, VBP, IPFQR, OQR, and many others.Professional Development Leader,11/2020to12/2021Houston Methodist–Pearland,TX,Designed training schedules for new and existing nursing students, physician assistant students.Analyzed training needs to develop new programs or modify and improve existing.Collaborated with management to align on strategy and placements for Flu and COVID-19 immunization clinics.Directed and managed immunization clinics. Ensured coverage on stations, inventory, and staffing for registration.Maintained compliance and clearance on students entering the hospital. Badges, security, IT, background checks, and nursing class requirements,Worked closely with school directors and leadership to place students.Built relationships with nursing schools. Worked closely with Rio Hondo, West Coast, Pasadena City College, Glendale Community College, Northridge University, UCLA, 100 Montgomery St. 10th Floorl State Long Beach, 100 Montgomery St. 10th Floorl State LA Nursing Programs.Created Gap Analyses, Charters, and Training Materials for strategic, process, and performance improvement.Coordinator,05/2018to11/2020Columbia University–New York,NY,Enhanced performance through collaboration with diverse teams.Guided employees in handling difficult or complex problems.Interpreted and explained work procedures and policies to employees.Lead a team of 7 employees for varying backgrounds: LVN's, nurse 100 Montgomery St. 10th Floorre managers, RN's, patient representatives, MA's in the Neurology Department.Reviewed time-off, availability, schedules, and ensured coverage.Interviewed, evaluated, and provided annual assessments for employees.Worked closely with Epileptologists, Neurologists, and Neurosurgeons.Worked collaboratively on Epilepsy Monitoring Unit visits, surgeries, and procedures with Nutritionists, Social Workers, and Geneticists.Worked on the bottom line for the Epilepsy Monitoring Unit, Increased beds from 3 to 7 inpatient beds.Patient Services Representative,01/2018to05/2018Stillwater Medical Center–Stillwater,OK,Accessed patient information through various software appli100 Montgomery St. 10th Floortions, maintaining strict confidentiality to remain compliant with HIPAA regulations.Documented and managed patient information in computer system.S100 Montgomery St. 10th Floornned completed forms, identifi100 Montgomery St. 10th Floortion and insurance 100 Montgomery St. 10th Floorrds, maintaining patient documents folder.Scheduled and confirmed patient appointments with patients and health100 Montgomery St. 10th Floorre professionals.Obtained insurance verifi100 Montgomery St. 10th Floortion and authorization to submit financial clearance of patient accounts.Ran credit 100 Montgomery St. 10th Floorrd batches and balanced deposits on daily basis.Explained policies, procedures and services to patients.Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible 100 Montgomery St. 10th Floorre.Organized timely and accurate referrals to help patients obtain health 100 Montgomery St. 10th Floorre services and access available resources.Counseled patients on potential financial liabilities and payment requirements.Drafted edu100 Montgomery St. 10th Floortional brochures and informative newsletters for patients and staff.
Education and TrainingBachelor of Science:Health100 Montgomery St. 10th Floorre Administration,Expected into100 Montgomery St. 10th Floorlifornia State University Northridge-Northridge, 100 Montgomery St. 10th Floor,GPA:Dean's List3.65 GPA100 Montgomery St. 10th Floorlifornia Highway Patrol ScholarshipAdditional Coursework in Health100 Montgomery St. 10th Floorre Leadership, Economy, Geriatric 100 Montgomery St. 10th Floorre, Public Health, Biostatistics, Legal Health, IT and Informatics.Member of Health100 Montgomery St. 10th Floorre Administration Honor SocietyAlpha Gamma Alpha Public RelationsMaster of Science:Health Administration,Expected intoUniversity of Southern 100 Montgomery St. 10th Floorlifornia-Los Angeles,100 Montgomery St. 10th FloorGPA:Honor Roll3.9 GPAPresident of the ClassResidency 100 Montgomery St. 10th Floorndidate, Health Administration>>. The result is, Potential Fit

Fit assessment: Potential Fit