Senior Business Analyst

Company: AlohaCare
Location: Honolulu
Posted on: January 9, 2021

Job Description:

The Company:AlohaCare is a local, non-profit health plan serving the Medicaidand Medicare dual eligible population.We provide comprehensive managed care to qualifying health plan membersthrough well-established partnerships with quality health care providers and community-governedhealth centers. Our mission is to serve individuals and communities in the truespirit of aloha by ensuring and advocating access to quality health care forall. This is accomplished with emphasis on prevention and primary care through communityhealth centers that founded us and continue to guide us as well as with othersthat share our commitment. As Hawaii's third-largest health plan, AlohaCareoffers comprehensive prevention, primary and specialty care coverage in orderto successfully build a healthy Hawaii.The Culture:AlohaCare employees share a passion for helping Hawaii's mostunderserved communities. This passionfor helping and caring for others is internalized and applied to our employeesthrough a supportive and positive work environment, healthy work/life balance,continuous communication and a generous benefits package.AlohaCare's leadership empowers and engages its employees throughfrequent diversity, recognition, community, and educational events andprograms. AlohaCare has a strong commitment to support Hawaii's families andreinforces a healthy work/home balance for its employees. Because AlohaCarevalues honesty, respect and trust with both our internal and externalcustomers, we encourage open-door, two-way communication through dailyinteractions, employee events and quarterly all-staff meetings. AlohaCare'scomprehensive benefits package includes low cost medical, dental, drug andvision insurance, PTO program, 401k employer contribution, referral bonus andpretax transportation and parking program.These employee-focused efforts contribute to a friendly,team-oriented culture which is positively reflected into the communities weserve.TheOpportunity:InternalSenior Business AnalystThe Internal Senior Business Analyst will serve as the technicalliaison between the IT department and various internal business units insupport of the development and enhancements to various systems associated with theorganization. The internalresponsibilities of this position consist of developing a deep knowledge ofsupported health plan areas, conducting business requirement sessions,documenting current and to-be process flows, and creating detailed requirementdocuments to support development or configuration changes to the variousprocesses and systems. This positionwill support testing within the business units by creating test cases andassisting all business areas with the quality assurance process. To support project planning, they will workdirectly with the business unit manager of the various areas and other keyemployees involved in each project to identify, define, prioritize, and executeprojects which deliver value through the implementation of new or existingsystems - which meets the user's expectations.ExternalSenior Business AnalystThe External Senior Business Analyst will serve as the technical/projectliaison between the IT department, internal business units, and externalstakeholders. The focus of this positionis to foster the technical relationship with external stakeholders to ensurethat all AlohaCare initiatives are communicated and managed effectively. This position will be responsible for onsitevisits to the external stakeholders and work with their technical teams andbusiness units to provide support in meeting the AlohaCare goals related toQuality, infrastructure, and technical projects.Primary Duties and Responsibilities:InternalDuties and ResponsibilitiesReports to the Senior Director of BusinessSupport Services and communicates any important information about theorganization or in-flight projects to other employees in the IT department.Perform project management duties forAlohaCare on upgrades, new releases, process improvement tasks, complianceprojects, and any other project or task related to their assigned businessareas. Oversees all project management on coresoftware system implementations. Thisincludes organizing meetings, keeping task lists, interfacing with AlohaCareusers and the vendor implementing fixes and resolving issues. Work in collaboration with the manager andstaff of the business units involved to develop solutions for all identifiedproblems.Work with the manager and staff of thebusiness units involved to identify areas of improvement and execute processimprovement projects that will automate current manual processes that will meetall regulatory requirements. Troubleshoot all process and system issueswhen they arise and work with the various staff members and vendors whennecessary to resolve the problems in a timely manner.Work with all business units and understandreporting requirements and will lead all projects with the necessary staffand/or vendors to develop or modify new and existing reports and will also workwith the internal Business Intelligence department to get the required reportscreated in the BI software.Develops and manages all team and vendormeetings on any project or process improvement engagement.Develops and delivers informative andwell-organized presentations to staff.Exhibits confidence and an extensive knowledgeof emerging industry practices when solving business problems.Uses creative thinking beyond the boundary ofexisting industry practices and staff mindset.Other related duties as may be assigned by theCIO or an IT manager.Responsible to maintain AlohaCare's confidential information inaccordance with AlohaCare policies, and state and federal laws, rules andregulations regarding confidentiality. Employees have access to AlohaCaredata based on the data classification assigned to this job title.ExternalDuties and ResponsibilitiesReports to the Senior Director of BusinessSupport Services and communicates any important information about theorganization or in-flight projects to other employees in the IT department.Perform project management duties forAlohaCare on process improvement tasks, compliance projects, and any otherproject or task related to external entities. Oversees all project management on externalprojects. This includes organizingmeetings, keeping task lists, interfacing with AlohaCare users, externalparties, and the vendors involved. Work in collaboration with the manager andstaff of any business unit involved to develop solutions for all identifiedproblems that arise.When necessary, work with the manager andstaff of the business units involved with external projects to identify areasof improvement and execute process improvement projects that will automatecurrent manual processes for external stakeholders. Work with all business units and understandreporting requirements and will lead all projects with the necessary staffand/or vendors to develop or modify new and existing reports and will also workwith the internal Business Intelligence department to get the required reportscreated in the BI software.Develops and delivers informative andwell-organized presentations to staff.Work with the external users such asCHCs, Providers, and AlohaCare employees to help with any issues related to anyexternal projects.Exhibits confidence and an extensive knowledgeof emerging industry practices when solving business problems.Uses creative thinking beyond the boundary ofexisting industry practices and staff mindset.Other related duties as may be assigned by theCIO or an IT manager.Responsible to maintain AlohaCare's confidential information inaccordance with AlohaCare policies, and state and federal laws, rules andregulations regarding confidentiality. Employees have access to AlohaCaredata based on the data classification assigned to this job title.Interface with providers and internal staff onHEDIS data gathering activities related to third-party population healthsystems (AZARA, i2i). Manage the HEDIS dataextract processes only and not the whole HEDIS initiative.Work with the providers on any project wherethey need internal help with any AlohaCare system or process. Thiscould be helping to train providers or putting processes in place at theprovider location to run reports or help configure the system with theprovider. Work with the CHCs or the other providercommunity with IT projects that have a joint purpose. This could be working with the provider tounderstand AC-Online better, helping with batch membership verification(270/271), or EPSDT projects.Requirements: (internal and external)Bachelor's Degree (in Computer Science,Business Administration, Public Health, Management or other related field) orequivalent combinations of education and experience5 years of relevant experience.Strong verbal and written communication inEnglish.Requires operation of general office equipmentto include; PC, fax/copy machine and ACD Mitel Phones.Advanced skills using Microsoft Programs;Word, Excel, Outlook, and PowerPoint.Strong organizational skills.Positive attitude and ability to acceptdirection.Excellent attendance, must be punctual andreliableFlexibility and adaptability to changingpriorities.Available for weekend or extra hours workduring project implementation or whenever necessary to accomplish tasks.Must be able to telecommute if necessary usingpersonal equipment ExternalRequirements:Possession of valid driver's license withaccess to a reliable insured automobilePersonal Transportation for onsite visits toAlohaCare stakeholdersPreferred Requirements:Bachelor's Degree in Computer Science, BusinessAdministration, Public Health, Management or other related field.5 years of QNXT experience or other claimsprocessing systems.5 years of GuidingCare experience or othercare management systems.Intermediate Transact-SQL Skills5 years of Health Catalyst experience.Previous experiencecreating user manuals, project plans, and user documentation.Working knowledge of healthcare industry. Previous experience with the Quest/QI Medicaidand/or and Medicare program.PMI-PBA or CBAP Certification.Mental, Physical and EnvironmentalDemands:Sedentary Work: Exerting up to 20 pounds of force occasionally and/or anegligible amount of force frequently or constantly to lift, carry, push, pull,or otherwise move objects. Sedentary work involves sitting most of the time,but may involve walking or standing for brief periods of time. Inside working conditions No environmental hazards Requires operation of general office equipment to include PCAlohaCare is committed to providing equal employment opportunityto all applicants in accordance with sound practices and federal and statelaws. Our policy prohibitsdiscrimination and harassment because of race, color, religion, sex (includinggender identity or expression), pregnancy, age, national origin, ancestry,marital status, arrest and court record, disability, genetic information,sexual orientation, domestic or sexual violence victim status, credit history,citizenship status, military/veterans status, or other characteristicsprotected under applicable state and federal laws, regulations, and/orexecutive orders.

Keywords: AlohaCare, Honolulu , Senior Business Analyst, Professions , Honolulu, Hawaii