Overview

Role: Business Analyst (Work Flow Management)
Client: Large Healthcare Provider
Terms: Contract
Location: 100% Remote
Salary: Competitive

Overview:

The business and application enables Providers are able to go in and submit their own Prior Authorizations (PA’s) and get an immediate decision online. PAN is the system or tool that they use for the Providers to do that. PAN feeds into a vendor. Vendor feeds into their internal application for all the utilization management. (Multiple systems)

Their team is a combination of command center support, Testing & UAT, as well as Research & Analysis. Production releases are once or twice a month.

There are hiring 4 Business Analysts to focus on Work Router

Team/Group:

External capabilities

Complex program management – end to end projects

Business requirements- Agile (not purists)

Change Management – organization readiness – training, user access, change communications

Product – Work Router

Workforce Management Tool – capabilities being built out in ServcieNow

Tool routes certain request or tasks to right area of the organization (prior authorization cases comes in, this tool routes to the correct department to be handled)

  • BA’s – 1-2 should have WFM experience, others should have healthcare/prior authorization – not everyone needs WFM
    • Not all BAs need to be senior
  • In a perfect world candidates would have both WFM and ServiceNow experience, but if not will prioritize WFM experience
    • Service Now is used for issues management and how the route the work to be done. ServiceNow is the platform in which they are building their WFM tool.
  • For a Mid-Level resource WFM & PA is not required, but nice to have

Tools:

Rally – backlog, stories (not required)

Aha – roadmap (not required)

BA’s Overall:

  • User stories
  • Influence the business, don’t just agree and take orders
  • Think, challenge, understand the “why”
  • Understand that current state, doesn’t necessarily need to be future state – think creatively identify the value driven requirements

Please Contact:

EEO Employer

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