BS Degree with 5+ years of recent experience gathering and assessing business information needs and preparing system requirements.
MUST have 3+ years of recent experience in a Provider Networking and Healthcare Management analyst role with provider and medical claims data
Experience collaborating with Provider Networking stakeholders to deliver consistent, accurate, and insightful provider solutions
Assist developing business cases and related financial literacy to support cases, and ability to write business cases demonstrating future direction for leveraging information in the member, product, regulatory, care management, and provider domains
Gather and document business requirements, participate in testing and issue mitigation
Knowledge of solution development processes, including requirements gathering, analysis and design, and development, agile methodologies, and tools and technologies.
Create and conduct presentations to inform and influence, with the ability to think laterally and creatively. Independently interact with and influence a wide range of stakeholders, and demonstrate a consistent track record of delivering results.
Clear and concise verbal and written communication skills
Work multiple projects simultaneously, adjusting priorities as needed and meeting deadlines
Proficiency with Microsoft Office (e.g. Excel, PowerPoint, Word, Visio) for written communication and analysis.
AHIP Certification is a huge plus
Knowledge of data/information management principles and strategies, and experience with strategic consulting with an information focus