Baltimore, MD, 21217, USA
7 days ago
Medical Policy Analyst - RN (Remote)
Description PURPOSE: The Medical Policy Analyst will have the responsibility to ensure that the business's need for changes to processes policies and/or information systems are identified understood defined documented and acted upon by eliciting analyzing documenting validating specifying and verifying the needs of business or user. The incumbent assists in the gathering and synthesizing of business requirements for low complexity software systems processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow. ESSENTIAL FUNCTIONS: Interpret business needs and issues by gathering eliciting analyzing documenting and validating the Business areas user and technical functional/non-functional requirements. Under the direction of a Lead or Senior Business Analyst participates in the creation of requirements documentation. Collaborates in the creation of project plans to define organize and schedule requirements management and development activities. Participates in requirements analysis and verification sessions. Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements. Responsible for the overall success of user acceptance testing including documentation verification and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Providing guidance and training to application end users. Identifies documents and troubleshoots problems in systems software and processes. Collaborate with appropriate stakeholders to monitor report and resolve issues. Participates in the development of solutions and workarounds that solve low complexity technical system and/or business issues. Reviews analyzes and creates detailed documentation of business systems and user needs. Responsible for the written documentation of requirements in a clear and well organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of low complexity Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests. Qualifications: Education Level: Bachelor's Degree - Must have RN License Education Details: Business Information Technology Computer Science or related field Experience: 3 years experience in functional operational business data systems or testing analysis. In Lieu of Education In lieu of a Bachelor's degree an additional 4 years of relevant work experience is required in addition to the required work experience. Preferred Qualifications: Demonstrated ability to deliver high quality effective deliverables on-time and be a valuable contributor to the development of cost-effective solutions. Moderate understanding of business analysis core competencies Knowledge Skills and Abilities: Strong time-management and organizational skill Proficient Excellent communication skills both written and verbal Proficient Ability to organize stakeholder meetings Proficient Microsoft Office applications usage Proficient The incumbent is required to immediately disclose any debarment exclusion or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities deadlines and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer including customers who may be demanding or otherwise challenging. Pay and Benefits The pay range for this position is $40.00 - $46.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Feb 7, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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