Business Analyst (304)

Role overview

Job duties

• Implement and administer core tools and business processes with partners, including TPAs and electronic eligibility, medical, and prescription file transmissions.
• Define, maintain, and troubleshoot partner file feeds and layouts; investigate discrepancies between partner and ProAct records.
• Conduct ad hoc investigations and report findings to internal and external partners; coordinate with Data-Ops on partner reporting needs.
• Troubleshoot data issues in raw feeds and reports and assist with business-process improvements.
• Prepare test scenarios and files, execute tests, and validate results.
• Explain requirements and processes using use cases, logical diagrams, and flow charts.
• Validate data accuracy, integrity, and consistency; identify and correct data-quality issues and recommend systems improvements.
• Complete required regulatory training and other assigned duties.

Education and experience

• Associate degree or equivalent real-world experience.
• One to three years of experience supporting business processes for electronic file transfer, storage, mapping, and file-layout generation.
• Healthcare industry experience is a plus.
• MS-SQL Server, relational database, and MS-Excel experience are each a plus; familiarity with BI, ETL, and reporting tools is a plus.

Required skills

• Strong investigative, analytical, and technical skills; ability to translate business and partner requirements into systematic processes.
• Ability to coordinate activities, changes, and communications and manage changing priorities in a fast-paced environment.
• Excellent verbal and written communication, self-motivation, customer service, and problem-solving ability.