This site uses cookies. To find out more, see our Cookies Policy

Group Health Senior Business Analyst in Downtown, FL at One Call Care Management

Date Posted: 3/13/2018

Job Snapshot

Job Description

Group Health Senior Business Analyst - Jacksonville, Orlando, Tampa

Conducts various types of research and analysis to support the business operations to an internal business segment, division, group or line of business. Assists management to resolve business issues in an effective and productive manner. Designs, documents and re-engineers business processes and publishes business metrics results.


•Performs analyses of the business goals, objectives, and needs of the general business environment for the appropriate OCCM segment, division, group or line of business.
•Performs research and analysis to support business operations and presents findings to manager or project leader.
•Plans and designs business processes and make recommendations and changes in order to improve and support business systems and activities and/or to deliver greater effectiveness and efficiency.
•Utilizes systems and data to resolve business issues in the most effective and productive manner.
•Identifies and implements best practices and suggests how to improve current practices.
•Calculates/estimates costs and benefits of alternative actions or solutions to establish their viability/ROI.
•Develops recommendations to solve problems and issues related to business operations.
•Analyzes and documents business processes and metrics, and identifies improvement opportunities.
•May train internal employees on changes to business practices, processes or procedures.
•May perform special projects upon request and on occasion.
•May provide coaching and/or guidance to less experienced Business Analysts.
•Performs other related duties as required.


A Bachelor’s degree in Business Administration, Finance, Computer Science, Information Systems or the equivalent combination of education, training, and work experience.


•Proficiency in standard office software, such as MS Office, Visio, MS Access, etc.
•Proficiency in industry-standard process methodologies (e.g., Six Sigma, LEAN, ISO, CMM, etc.)
•Excellent verbal and written communication skills to audiences of various levels in the organization (e.g., executive, management, individual contributors)
•Willingly shares relevant knowledge and expertise to other resources
•Excellent analytical, decision-making, problem-solving, interpersonal, team, customer service, negotiation, conflict management and time management skills
•Ability to persuade and influence others on the best approach to take
•Ability to estimate work effort for project sub-plans or small projects and ensure the project is successfully completed
•Is resourceful and proactive in gathering information and sharing ideas

•Experience in healthcare industry – preferably with Medicare or Medicaid ancillary services.

•Experience managing large-scale implementations and/or integrations, including but not limited to system migration and integration projects

•Strong knowledge of common technologies in Healthcare industry such as claim adjudication, billing, call center, etc.

•Experience in developing plan requirements through either working with vendors/subcontractors in the delivery of services or on the vendor/subcontractor side working with health care plans.


• For roles located in office or home settings; this job is primarily sedentary and may involve repetitive motions; the employee is regularly required to sit, use hands and fingers, speak, and hear
• For roles located in the field; this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving), sit, use hands and fingers, speak, and hear
• The employee is occasionally required to stand, walk, and lift objects (up to 10 lbs. weight; up to 4 ft. height)
• Specific vision abilities required by this job include ability to see things from a close distance and ability to adjust focus
• The work environment utilizes florescent lighting; noise level is moderate
• The emotional demand of the job may cause undue stress from, but not limited to, moderate/heavy workload
• Reasonable accommodations will be individually assessed and possibly made to enable individuals with disabilities to perform the essential functions of the position
• Please be advised the job description is subject to change at any time

Business Analyst Senior

Advanced professional role. Highly-skilled with extensive proficiency. Develops large and/or complex solutions that require analysis and research. Works on multiple projects as a project leader or frequently as the subject matter expert. Works on projects/issues of medium to high complexity that require demonstrated knowledge across multiple analytical areas and business segments. Coaches and mentors more junior business systems analysts. Works under minimal supervision on complex projects. Wide latitude for independent judgment. Typically requires six or more years of demonstrated business analysis experience with at least one project as the business analyst lead on a “large” project.