Enterprise Business Analyst - Product & Technology

Job Description

Job Description

About The Role We are seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst / Product Specialist in the healthcare payer domain of Health Plan administration of self-funded clients who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product.  The ideal candidate will have worked in-depth in healthcare payer domain or Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) and Healthcare Networks space. This person must possess a blend of business (most important) and technical savvy as well as effective communication skills to collaborate with internal and external stakeholders.  This resource should have demonstrable experience in advancing products in a TPA model.

Primary Responsibilities

• Interface with senior leaders and stakeholders, both Business and Technical across different workstreams and shared services commonly found in TPA’s (i.e. Eligibility, Reporting, Benefits, Finance, Information Technology, Networks, etc.)
• Use your solid business understanding of Benefits and Networks to advance client needs and the Brighton business.
• You will work with business and solution delivery owners to define and document requirements for the assigned products and services, as well as write user stories, acceptance criteria, feature description decks, process flows, manage traceability and UAT.
• You will maintain a solid knowledge base of the functional and system capabilities of the various areas and products within the assigned product portfolio.
• You will work with stakeholders and product teams to drive consensus on scope, design and implementation decisions.
• Provides analysis and impact to user and business for changes to current functionalities and applies critical thinking skills to meet business needs.
• Develop and integrate requirements management to the delivery approach and schedule; Assist product quality with cogent requirements and processes.
• Participate in the presentation of information to customers and internal business and or IT teams.
• Creates business / product / third party vendor specifications for product integration and implementation.

Essential Qualifications

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

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