Business Systems Analyst lll

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: A Business Systems Analyst III will work on projects that generally involve a complex scope. The BSA III is responsible for analyzing and documenting business requirements, documenting business workflow, developing file mapping and technical specifications, and working with business partners/stakeholders to determine priority of requirements. In addition, assesses system capabilities and interdependencies to define and document business solutions. Works collaboratively with the development team, provides complex technical guidance while applying effective design concepts. The BSA III proposes or seeks alternative solutions, when necessary, to ensure the proper balance between business and technical needs. Responsibilities Primary Job Responsibilities : Analyzes and provides high-level project scope for impact and feasibility within the defined time/cost constraints with minimal direction. Assist in the preparation of project scoping documents. Involved in determining appropriate approach (es) to the business analysis effort and in defining required outcomes/deliverables specific to the project. Elicits customers/stakeholders’ underlying business needs and concerns through standard methods (i.e., interviews, process workflows for desired state, etc.). Proficient in standard methods and approaches and applies methods and/or approaches as applicable. Facilitates and documents requirements gathering sessions (involving smaller number of participants) with business representatives/subject matter experts. Manages through conflicts and competing demands. Escalates to Project Manager, direct manager and other more senior colleagues to help resolve more difficult issues. Given proficient business acumen, formulates probing questions and shapes effective solutions to difficult problems. Solutions may have implications or impact milestones. Define and…