Senior Business Analyst

Role Description

Who We Are:

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.

Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

You Are

USTHealthproof is looking for a Senior Business Analyst who will be responsible for ensuring that business requirements are documented, and every functional/business consideration is identified before implementing each project. This position must clearly understand and review/confirm with the client and internal departments before functional requirements are finalized - alternative approaches are suggested where viable. The Senior 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 most prevalent use cases. Consultant to business units and technical teams for detailed data availability, location, lineage, and quality.

The Opportunity

• Ensures delivery according to project timelines. Coordinates with stakeholders to define go-live activities. Tracks progress performs follow-up communication, and documents resolutions to maintain project timelines. Analyzes possible impacts to the schedule for requested changes and makes updates as needed to the project timeline within reason.
• Develops and executes presentations. Prepares and documents workgroup meetings and presentations. Facilitates meetings and calls to orient new clients, collaborate with internal and external stakeholders, and address concerns.
• Works with the project manager to manage the project plan. Provides tasks, dates, and resource responsibilities based on the scope of the project. Provides statuses updates.
• Creates functional specifications. Collects, understands, and transmits business requirements for projects and translates into functional specifications, database designs, and detailed test plans.
• Works with client to understand requirements. Partners with clients to gather all requirements to formulate business process specifications and translate those into application and/or operational 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.
• Works with operational business staff to translate requirements. Assists the operations team(s) in updating documentation and processes to accommodate the products offered. Communicates business directives, goals, and needs to the business team and serves as a client interface for managing user expectations and client satisfaction.
• Creates and/or updates project documentation. Documents objectives, decisions, accomplishments, and deliverables for the work stream. Places documentation on the internal storage mechanism (Confluence) to provide a written account of the project activities.
• Works with product team to stay abreast of overall product strategy, roadmap(s), and release management processes.
  
  

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

• Bachelor’s degree in a related field. Certification or progress toward certification is highly preferred and encouraged.
• Minimum of five years of relevant experience as a business analyst in healthcare or health insurance, Medicare, and commercial business lines, or related industry.
• Working knowledge of Medicare Advantage, CMS memos and mandates.
• Working knowledge of enrollment, billing and claims systems, able to work in a fast paced environment and deliver results.
• Ability to manage multiple assignments and implement projects.
• Demonstrated excellence in a rapid environment, with the ability to gather requirements, communicate product design requirements, and achieve high-quality results within specified timeframes.
• Knowledge of, and the ability to apply, necessary software development practices and procedures.
• Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts and draw valid conclusions.
• Ability to design program logic, prepares test data, and test programs.
• Ability to review business requirements and compare to application for possible deviations from customer expectations.
• Excellent troubleshooting & problem-solving skills.
• Experience working with multi-functional teams to perform complex data analysis, data mapping and support a variety of business intelligence, reporting, analytical and data visualization needs.
• Experience working with mainstream BI reporting systems, ETL data integration platforms, and data modeling tools.
• Strong presentation and analytical/problem-solving skills
• Ability to work in both a structured and unstructured environment.
• Ability to support projects using a variety of project management methodologies (bi-modal)
• Strong communication skills
  
  

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range: $90,000 - $105,000

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe

At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

Guiding Principles

These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.

Simplicity

Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.

Integrity

Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.

People-Centricity

Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.

Leadership

Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission

A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.

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, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#Healthproof

Skills

Healthcare,Business Analysis,Business Process