Our Ability Jobs

Job Information

Healthfirst Senior Technical Development Business Analyst in New York, New York


The Senior Technical Development Business Analyst (Senior TD-BA) is to lead the team of Technical Development Business Analysts as subject matter expert on operational data analytics and engineering including but not limited to facilitate quality and control on the operations data process and creation of artifacts relating to activities ensuring operational effectiveness. The Senior TD-BA oversees agile team’s project plans, ensures milestone completion, leads delivery of project goals, handling of issues that impact progress and resolving conflicts. The incumbent will identify, define, and implement process improvement opportunities and technical design activities that align with the enterprise vision and mission. This includes leading and supporting research and analysis to describe and communicate the future state in a cohesive and comprehensive format.

Duties and Responsibilities:

  • Attend, participate, and contribute in enterprise and operations agile program events

  • Facilitates analysis meetings and sessions in support of departmental and enterprise initiatives

  • Analyze, trend, report and present findings as well as create high quality visual representations for broad and diverse audiences within the organization

  • Create precise documents to describe specifications, capabilities, and processes associated with the assigned projects demonstrating efficiency and effectiveness

  • Participate in process and technical solution creation activities

  • Develop and maintain SAS/SQL/VBA/SharePoint reporting tools, databases and processes

  • Query and manipulate data to identify variance and root cause, analyze trend, summarize findings and develop recommendations for stakeholders

  • Work departmentally and interdepartmentally to address deficiencies and recommend implementation of creative efficiencies and modifications to existing process

  • Prepare routine reports as needed (financial, quality, production, operational efficiency, etc.) and other duties as assigned

  • Collaborate with business units to understand strategic goals and promote an environment conducive to creativity, change and information exchange

  • Work closely with Product Owner as delivery lead on highly critical and urgent projects such as CMS/DFS/OMIG/Internal audits

  • Lead the Technical Development BA team as SME of Operational data to align and support the Enterprise Delivery Program

  • Lead as SME in technical knowledge across relevant data applications including but not limited to VBA, SAS/SQL, Alteryx, and Tableau development

  • Oversee and monitor all ad hoc data engineering projects, data tool development, reporting and inquiry intakes processes

  • Act as the first Go-To SME to engage urgent inquiries from Ops leadership, executives and other priority request such as ad hoc CMS and DFS requests

  • Work closely with EDS management to identify process improvement opportunity that aligns with the enterprise vision and mission

Minimum Qualifications:

  • HS Diploma or GED from accredited institution

  • Demonstrate ability to work within regulatory and compliance guidelines including accordance to HIPAA

  • Experience in SAS, SQL, and AWS servers and databases

  • Experience in creating, editing and executing queries using SAS Base, SAS Enterprise Guide, SQL Server applications, and Alteryx Designer

  • Demonstrated ability to create visualizations and presentations with hands on experience in Tableau Desktop, PowerPoint (Themes, animations, transitions), Word (templates, outlining, themes, embedded objects) and Excel (advanced functions and formulas, pivot tables, visual presentation)

  • Experience in creating, reverse-engineering and maintaining Excel/Access VBA application

  • Experience in creating, editing, and maintaining contents in SharePoint platform

  • Experience in assessing and communicating complex business requirements in a manner understandable by all levels of the organization; including technical and non-technical staff, testing teams, and business stakeholders

  • Ability to diagnose system issue, engage data validation, and provide quality assurance testing

  • Demonstrate ability to work effectively under tight deadlines and minimum supervision with excellent time management and prioritization skills

  • Agile Experience (Scrum, Scaled Agile Framework)

  • VersionOne Software and/or Kanban Software Experience

  • Experience in hosting meetings, facilitating analysis sessions, and delivering presentations

  • Excellent written and verbal communication skills

Preferred Qualifications:

  • Bachelor’s Degree from an accredited institution

  • Experience and knowledge in Claims Operations, Enrollment & Billing, Members Services, or Providers Operations

  • Knowledge of other programming/reporting applications (i.e. Visual Basic Studio, QlikView, Cognos, Python, etc.)

  • Knowledge and relevant work experience within the healthcare industry (such as a managed care organization, commercial health insurance plans, hospital, etc)

  • Knowledge of Medicare and Medicaid programs and reimbursement methodologies

  • Knowledge of healthcare claims processing practices in a managed care setting

  • Hands-on experience with rules-based table and systems (i.e. PowerMHS, Biz Talk, PEGA Preprocessor, SaleForce CRM, etc)

  • Knowledge of Macess or other workflow systems

  • Experience with Business Process modeling

  • Ability and willingness to handle increasing workload and responsibility

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement