Professionalservices - Exception Template

Business Analyst 2 110013 Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Education/Experience: Bachelor s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Benefits and Payment Configuration Compliance Coding/Prepay Compliance (Payment Integrity) Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred. Encounters: Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred. Provider Data: Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Knowledge of data migration, software enhancement/planning, and Agile preferred. Member & Provider Solutions Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred. EEO: Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. ==========

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Education/Experience: Bachelor s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Benefits and Payment Configuration Compliance Coding/Prepay Compliance (Payment Integrity) Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred. Encounters: Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred. Provider Data: Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Knowledge of data migration, software enhancement/planning, and Agile preferred. Member & Provider Solutions Bachelor s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.
Story Behind the Need
What is the purpose of this team? Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative?		Strategic Business Operations is accountable for several cross-functional areas for the organization, including activities within Provider Operations like ensuring accurate Medicaid/CHIP provider registration and provider directory accuracy, business analysis which focuses on ensuring accurate and reliable documentation for stakeholders for a distinct set of projects. This position operates with a high level of autonomy working with a cross-functional group and will have the support of leadership to achieve key objectives. Demonstrate the ability to think critically beyond task completion by offering ideas, making recommendations and contributing to the overall success of the organization. Key project : Provider Data Accuracy. Process implementation (including data analysis and recommendations), improvement and documentation. Ownership and monitoring of key processes.
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are the performance expectations/metrics? What makes this role unique?		Day to Day: Leverage all communication channels to complete assignments. For example- Teams, email and phone calls/meetings. Research, analyze and document based on project needs. Make recommendations based on analysis and ongoing research and monitoring. Create formal documentation based on the business needs. Present to leadership. Develop relationships with cross-functional teams and engage with them to learn more about the business and the business needs to solve problems. Performance Expectations/Metrics: Meeting or exceeding project deadlines. Conforming to documentation and team standards ensuring high quality submissions. What makes the role unique? This position will be involved with a variable set of projects and tasks which will offer the opportunity to learn from and engage with multiple business areas.
Candidate Requirements
Education/Certification	Required: See job description.			Preferred:
Years of experience required: See the job description. Disqualifiers: Lack of business experience, Resume- presence of typos or poor formatting, Candidates who reside outside of the eastern time zone, Additional qualities to look for: IIBA Membership CCBA or CBAP, Health insurer experience, well-rounded experience (e.g.; progressive responsibility, volunteer work, educational/vocational pursuits.)
Top 3 must-have hard skills stack-ranked by importance		1	Requirements Gathering and Documentation
		2	Data Analysis and Visualization
		3	Decision Making and Communication
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations		Projected Manager Candidate Review Date:			1-2 days post shortlisting
		Type of Interviews:			Teams, phone, etc.
Manager Communication Preferences & Next Steps
Additional background check requirements (List DFPS or other specialty checks here):
Do you have any upcoming PTO?		11/20/2025-11/28/2025
Colleagues to cc/delegate:		Kayla Caro