Senior Business Analyst - Health Insurance Policy SME

About the role

Softrams is seeking a Senior Business Analyst/Health Insurance Policy SME with strong domain expertise in Medicare program knowledge, including understanding of Medicare Advantage (Part C) and Prescription Drug (Part D) programs, policies and data. The candidate will also possess knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions.

Responsibilities

• Work with dynamic and multi-functional teams to help develop and/or enhance products on a day-to-day basis.
• Follow an Agile methodology while performing in a highly collaborative environment to deliver incremental working software with end-to-end user experience in mind.
• Be an expert in the client’s regulations, policies, and systems.
• Work with the Product Owner and Product Manager, designers, the customer, users, and other stakeholders to capture product requirements as user stories with robust acceptance criteria that meet customer needs and address pain-points.
• Conduct policy analysis toward developing and adapting business requirements.
• Conduct product analysis sessions, work group calls, user research, and usability testing and engage customers to provide requirements and feedback.
• Work with sprint team to implement and accept user stories as defined.
• Work with the customer to develop agile documentation and oversee quality assurance activities (SOPS, QA processes, metrics, reporting).
• Develop Change Requests following change control policies and procedures established to monitor and control product vision.

Requirements

• Ability to successfully obtain a U.S. Federal Position of Trust clearance designation.
• Must reside in and be able to perform work in the United States.
• Must have lived in the United States for 3 of the last 5 years.
• A bachelor’s degree is required.
• 8+ years of experience in working in software agile delivery with sprint teams to implement solutions in line with product requirements and using agile collaboration tools (Jira, Confluence, etc.).
• 5+ years of total experience as a business analyst, product analyst, product owner, and experience supporting the capture of requirements and developing business process models.
• 3+ years of experience with healthcare IT programs including working on Medicare Advantage and Prescription Drug programs.

Qualifications

• Demonstrated abilities to analyze complex business processes and operations;
• Represent user needs as user story requirements;
• Identify gaps and come up with improvements;
• Demonstrated ability to exercise creative and critical thinking to identify and evaluate alternatives toward arriving at decisions with stakeholders;
• In-depth knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions;
• Excellent oral and written communication skills and ability to document complex problems in a simple & intuitive manner that others can understand;
• Experience working with public facing civic tech projects.

Skills

• Experience with Scaled Agile Framework (SAFe).
• Agile certifications relevant to product owner and product analyst roles (e.g., PMI-ACP, CPM, CPO, CSM, PSM, SAFe POPM).
• Ability to perform business process modeling and develop business process flows and concepts of operation for complex systems.

Benefits

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