Business Analyst

Payer Compass is looking to fill a Business Analyst position in Plano, TX, or remote.

Department: Product Strategy Location: Plano, TX or Remote

Basic Functions:

Payer Compass is looking for a Business Analyst, Product Strategy to be a key team player within our Product Strategy and Development Teams that will be responsible for requirements development and management as we develop and implement new product/software solutions. One of the most important roles of a business analyst is to research new opportunities, vet them out with our partners and define business requirements that also include the approach for implementation.

  • Define requirements related to compliance, legislation, and business operations for the purpose of developing solutions for our internal and external partners in the following areas: claim pricing, finance, customer service, provider data, member data, and client needs.
  • Work closely with the client and/or internal teams to ensure that requirements are resolved and/or handled appropriately to a conclusion.
  • Research and document requirements and responses
  • Perform in-depth and complex research, fact-gathering, analysis, and interpretation of applicable laws and statutes pertaining to healthcare regulations and all other issues pertaining to business operations.
  • Conducts interviews and information gathering, analyzes data, and documents findings
  • Updates internal documentation and processes as needed.
  • Manage competing priorities and deliver quality information and analysis while adhering to deadlines.
  • Create and standardize business requirements documentation processes and workflows.
  • Manage BRD deadlines with necessary tools for completion tracking and clearly identifying open items that need inputs from stakeholders.
  • Collaborate and work closely with Client Partners, Project Managers, and business teams.
  • Identify issues upfront and communicate clearly to team members and leadership.
  • Participates in the management of the sequencing of releases to meet business needs for enhancements, automation, and implementations.
  • Ensures continuing operational support by documenting changes and enhancements
  • Provide training to staff on a need basis and act as a mentor for new team members

Education and Work Experience:

  • Associates or bachelor’s degree preferred
  • Certified Business Analyst is strongly preferred, equivalent demonstrated business analysis experience
  • Extensive experience with Agile development, System Design Life Cycle (SDLC), or other industry-standard methodology
  • Superior root-cause analysis skills, including corrective action planning and ability to provide documentation to support analysis.

Knowledge, Skills and Key Competencies:

  • Extensive knowledge in health insurance third party administrator concepts related to compliance and business operations reporting needs in one or more of these programs: Referenced Base Pricing, Medicaid, Medicare Advantage, Exchange and Commercial plans.
  • Working knowledge of documenting data element requirements, rules pertaining to these data elements, and applicable regulations outlined based on state and CMS guidelines.
  • Strong communication and facilitation skills.
  • Strong time management and organizational skills.
  • Excellent interpersonal, oral, and written communication skills.
  • Strong attention to detail and organization.
  • Able to work independently and within a collaborative team environment with little guidance/supervision.
  • 2+ years of computer skills, especially: Word, Excel, Visio, PowerPoint, and SharePoint
  • 3+ years of experience leading projects and cross-functional teams
  • Ability to successfully balance deadlines, projects, and day to day responsibilities

Protects and maintains patient and institutional information in a confidential manner and in a secured environment. Ensures data access limitations through the use of password protection, read-only access, and other measures that protect the data from unauthorized or accidental access.

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