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Business Analyst - Health Programs

KAI Partners, Inc.
locationRoseville, CA, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job DescriptionThis is a Direct Hire position with KAI Partners. C2C will not be considered at this time. Business Analyst KAI Partners, Inc. (KAIP) is currently seeking Business Analysts who are responsible for analyzing business needs, performing data analysis, requesting reports, and developing detailed analysis and conclusions from the reports. Other requirements may include maintaining project schedules and managing tasks. This role supports project-related activities and provides clear documentation and insights to drive successful delivery.Responsibilities

  • Conduct business analysis to identify and document project needs, goals, and requirements.
  • Collaborate with cross-functional teams, including IT, operations, and health staff to complete project goals.
  • Analyze and interpret pharmacy requirements and translate them.
  • Ensure compliance with state and federal regulations including HIPAA and CMS guidelines.
  • Identify, document, and report project issues and risks, proposing effective strategies for resolution.
  • Facilitate requirements-gathering sessions with stakeholders to capture detailed business and technical requirements.
  • Manage and track tasks, issues, and progress, ensuring transparency and effective communication among team members.
  • Collaborate with cross-functional teams to ensure alignment of requirements with project objectives and deliverables.
  • Conduct testing and quality assurance, and identify potential issues.
  • Monitor and analyze pharmacy benefit performance metrics and make recommendations for improvements.
  • Provide clear and actionable insights to project managers and leadership for informed decision-making.
  • Adhere to KAI Partners' quality management processes, professional standards, and ethical guidelines while exercising discretion and independent judgment.
  • Accurately log work hours in designated platforms to meet compliance requirements.
  • Continuously learn new technologies and methodologies to advance organizational and client knowledge.
  • Perform other duties, as assigned.

Skills and Qualifications

  • Demonstrate excellent verbal and written communication skills, effectively engaging with both internal and external customers.
  • Strong analytical, critical thinking, and problem-solving skills.
  • Confidently present data and insights to clients, delivering clear and impactful messaging.
  • Exhibit a driven, self-starting mindset with strong abilities in customer engagement, communication, influence, leadership, and critical thinking.
  • Maintain composure under pressure, meet deadlines with a positive attitude and exemplary customer service.
  • Work independently to complete assignments within guidelines, prescribed routines, and standard practices under general supervision.
  • Adhere to all company policies, procedures, and compliance requirements.
  • Thrive in a fast-paced, dynamic environment by managing multiple tasks, deliverables, and projects with minimal supervision.

Work/Education Experience

  • Bachelor's degree. (Required)
  • At least three (3) years of experience aligning IT systems with organizational business processes. At least one (1) year of that experience must have been in a lead capacity. (Required)
  • Must have a minimum of one (1) year of experience applying analytical processes on IT projects. (Required)
  • At least one (1) year of experience must have been in a health or pharmacy environment. (Preferred)
  • Knowledge of Healthcare information systems, including Electronic Health Records, medical claims processing, and adjudication, including provider management. (Preferred)
  • Familiarity with clinical workflows and healthcare regulations. (Preferred)
  • Experience as a data analyst. (Preferred)

Compensation Range: $70,000 - $100,000The salary range for this role may vary depending on the specific geographic location where this position is ultimately filled. Several factors, including but not limited to a candidate's experience, education, skills, and certifications, pay equity, and organizational needs, are considered when determining the posted salary range. In addition, eligible roles also qualify for a comprehensive benefits package. Must be able to provide proof of education for all mandatory qualifications; all references will be verified. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. KAI PartnersKAI Partners, Inc. is a Northern California-based small business that offers world-class management consulting and technology services to public and private sector clients on a variety of large-scale projects. The KAI Partners team has over 100 years of combined executive-level experience in information system design, development, implementation, and testing. Our clients benefit from our proven program management, project management, and oversight, program portfolio management, Agile services, organizational change management, training, enterprise architecture, managed IT service, and IT security support. http://www.kaipartners.com/

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