Healthcare Business Analyst Job Description
Healthcare Business Analyst Duties & Responsibilities
To write an effective healthcare business analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included healthcare business analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Healthcare Business Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Healthcare Business Analyst
List any licenses or certifications required by the position: PMP, CBAP, SDFC, US, ITIL, HL7, 9000, ISO, CAPM
Education for Healthcare Business Analyst
Typically a job would require a certain level of education.
Employers hiring for the healthcare business analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Business, Healthcare, Computer Science, Education, Project Management, Information Systems, Technology, Finance, Healthcare Administration, Statistics
Skills for Healthcare Business Analyst
Desired skills for healthcare business analyst include:
Desired experience for healthcare business analyst includes:
Healthcare Business Analyst Examples
Healthcare Business Analyst Job Description
- Responsible for healthcare software application configuration
- Create innovative and actionable data solutions that drive decision making for clients
- Collaborate with other analysts, producers and client managers
- Conduct formal presentations to clients and vendors
- Assists in analyzing and documenting client's business requirements and processes
- Analyzes customer operations and finances in order to determine credit worthiness in accordance with underwriting guidelines
- Accurately collects customer financial information
- Conducts industry research and competitive due diligence
- Monitors and reports on assigned portfolio
- Manages accounts to ensure customer retention and performance to specifications
- Strong analytical skills, exceptional interpersonal, verbal and written communication skills, and a strong client-facing presence
- 3-5 years claims adjudication, EDI or membership eligibility experience in the insurance or provider industry a plus
- Strong understanding of software systems requirements gathering and technical analysis
- Understanding of UML and other software development methodologies
- Ability to understand and prepare technical documentation translate technical jargon to business usability
- Experience with software development projects and have been on at least two full SDLC projects
Healthcare Business Analyst Job Description
- Individually develop and also lead other associates to develop stunning visualization using Tableau
- Collaborate with other team members to perform necessary data analysis, data management and modeling leading up to creation of impressive dashboards and visualizations
- Provide business and analytics requirements to product development and development teams
- Lead automation of key product functions to improve overall efficiency and quality of product deliverables
- Perform required analysis to produce analytical insights such as baseline assessment of client’s historical rates, client’s quality performance, benchmark comparison analysis, forecasting and such other insights
- Develop and maintain a subject matter expertise regarding quality improvement product line and affiliated service lines
- Provides cost effective business systems and applications analysis in support of the development and implementation of business applications
- Includes evaluation, analysis, documentation of requirements, translation into proper system requirement specifications and configuration
- Operates as the technical personnel to resolve end-user needs as identified
- Responsible for Clinical Projects and acts as a Subject Matter Expert
- Intermediate to advanced skills using Microsoft Word, Outlook, Excel, PowerPoint, OneNote and Visio
- 3-5 years Business Systems Analyst experience in Healthcare a must
- Self-starter with demonstrated drive to learn and keep pace with the industry best practices and developments in their field
- Familiarity with software development projects
- Experience effectively communicating and presenting information both orally and written to clients and internal staff
- Bachelor’s Degree with at least 2 years of experience in finance, accounting, or credit
Healthcare Business Analyst Job Description
- Review data from clients and identify patterns likely to result in overpayment
- Research health care market trends, payment methods and behavior to determine potential for inaccurate billing or payment practices
- Participate in brain storming sessions to develop new concepts
- Utilize a variety of software and platforms for statistical analysis and research concerning data
- Work collaboratively with various departments to develop overpayment identification concepts, gather requirements and assist in design of algorithm logic for automated edit deployment
- Analyze results from production team and create enhancements to ideas or edits as necessary
- Create and maintain business logic specifications for business intelligence solutions, including complex analytic methodologies used in a health care decision-support solution
- Collaborate with stakeholders within a Scrum framework to ensure correct implementation of business logic
- Respond to end-user inquiries regarding questions about analytical concepts
- Contribute to training programs to support implementation of the solution
- 6 years of finance or accounting experience including financial analysis, preparing financial information and interpreting financial performance
- High energy, self-motivated, disciplined self-starter with an entrepreneurial spirit
- Outstanding team player, flexible, and adaptable in a fast-paced environment
- Innovative critical thinker and passionate about data
- Brilliant communication skills, both oral and written – ability to distill complex concepts into easily understandable presentations
- Should have minimum of 5 years if experience in BA and Lead BA role
Healthcare Business Analyst Job Description
- Ability to self-direct with minimal oversight
- Analyzing the impact of change across the organization
- Specifying, analyzing , synthesizing business, stakeholder, functional, and non-functional requirements
- Discovering, documenting and improving business processes at varying levels of detail, both graphically and with text
- Documenting business analysis artifacts using business analysis software tool
- Leading cross-functional meetings to elicit requirements from subject matter experts to determine potential conflicts/other requirements that may exist in other areas
- Facilitating requirements workshop with over 10 participants
- Facilitating focused group discussions to elicit requirements involving 5-8 participants
- Communicating and representing requirements to stakeholders throughout solution development
- Evaluating the value being delivered by new and existing solutions
- Minimum 3 years of experience in Group, Voluntary, and /or Health Care industry in a consulting or industry practitioner role
- Ability to work independently in a team environment, and manage multiple task assignments
- Well-developed communication (written and oral) and interpersonal skills
- Experience managing teams is a plus
- 4+ years of experience in a data analysis, product development and related environments
- Healthcare data work experience is preferred
Healthcare Business Analyst Job Description
- May support management review of operations by performing cost-benefit analyses comparing diverse operating programs
- Lead or participate in requirements gathering
- Define and document requirements and use cases
- Troubleshooting application and/or interfaces as problems arise
- Gathering detailed requirements that completely define the project
- Create high-level models and user prototype interfaces to identify and validate business processes and resolutions when appropriate
- Conducting and directing end-user testing responsibilities
- Gathers data post-implementation to measure outcomes and impacts
- Works on assignments of moderate scope and within accepted guidelines
- Uses judgment within defined practices and procedures
- Strong Tableau or such other data visualization product experience
- Excellent client presentation and communication skills preferred
- Methodical and pragmatic problem-solving skills
- Ability to lead and work as a team – strong active listening skills
- Ability to handle multiple projects at the same time and apply appropriate prioritization based on clear understating of end-user needs
- Experience with NextGen eMR/ePM and Epic