Healthcare Business Application Expert Consultant

posted on September 19, 2018

Job Description

Location: Durham, NC

Duration: 12 Months


  • We work with all operational and technical teams to design processes and output (booklets, ID cards, EOBs/EOPs, Invoices, Letters, ext) for the end users.
  • We also are the business team for production support of fulfillment for market segments already on Facets and work with Refresh teams and other projects to design updates to those output and processes.
  • Business process knowledge and a basic technical understanding is required.
  • Undergraduate degree
  • 5 years of application experience to include either Claims, Membership, Individual Business, etc.
  • In lieu of a degree, 7 years application experience in the hiring area will be considered.
  • Excellent PC skills (e.g. MS Word, Excel, Access, and PowerPoint)
  • Use judgment and initiative to review, analyze and develop solutions for business systems while identifying and quantifying the business impact of those solutions.
  • Ensure efficiency of reporting and data tools for supported business area use and for trend analysis.
  • Assist less senior Business Systems Analysts to enhance overall team performance

Issue Resolution:

Facilitate the resolution of large, complex production problems by:

  • Performing initial triage for severity and business impact of system/application failures.
  • Troubleshooting and analyzing to determine root cause of issues,
  • Developing applicable business processes and solutions to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
  • Coordinating with IT, other teams and vendors as needed to devise, test and implement long term remedies.
  • Coordinate the development of system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities

Project/Program Support:

  • Work collaboratively on projects and initiatives with the business and IT by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
  • Act as Business Lead/Coordinator on large, complex departmental and/or some corporate projects/initiatives.
  • Facilitates project intake, including scheduling of projects.
  • Review and approve technical specifications
  • Coordinates with IT on implementation and post implementation support

Business Testing:

  • Coordinate and develop testing plans with Business area and IT
    Serve as point of contact for business testing activities and influence testing strategy to ensures testing will appropriately meet business requirements
  • Develop, document and may, in some cases, execute test plans and scenarios
  • Analyze and verify results for accuracy, relevance and completeness.
  • Provide impact assessments and make recommendations to the business owner regarding issues, risks, etc.
  • Train/coach others on appropriate testing protocol, execution and test plan creation.
  • Assist IT and help identify business area impacts for hardware and software upgrades, security changes, and architectural enhancements as needed.

Hiring Preferences: 

  • Familiarity with health care industry is preferred
  • Business Analyst and requirements elicitation
  • Functional design specification writing
  • Experience in consultative role preferred.
  • Demonstrated facilitation skills that include workgroup leadership and/or problem resolution across multiple groups.
  • Project management skills.
  • Focus on proactive and creative solutions to meet current and future business needs.
  • Ability to read, interpret and apply technical specifications
  • Ability to coach and train less experienced BSAs.
  • Commitment to excellent customer service.
  • Focus on accuracy and attention to detail.
  • Excellent oral and written communication skills.
  • Solid formal presentation skills.
  • Ability to work in and/or lead cross-functional project teams.
  • Excellent analytical and problem-solving skills, including ability to interpret and present quantitative data.
  • Ability to manage multiple priorities, work independently and meet deadlines.
  • Process focused
  • Solid PC skills with MS Word, Excel and Powerpoint.

Required Skills:

  • This role with work with migration and other project work and own the design deliverable’s to move the market segments onto the Facets platform.
  • Business acumen, requirements and process elicitation, stakeholder communication and soft skills.

Good to Have:

  • Healthcare knowledge and experience, vendor delivery, claims, billing, enrollment knowledge


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