Sr. Business Analyst/Contribution Accounting

About The Role

BHPS is seeking a skilled Sr. Business Analyst with knowledge of healthcare Payer & TPA industry and experience with premium billing, payments and contribution accounting. This role involves requirements gathering, documenting and analysis to align with the goals of the Program. We are seeking a passionate, results-oriented candidate who excels in client interactions, and can collaborate effectively with internal and external stakeholders to analyze and document requirements for client or product. This person must possess a blend of business and technical knowledge, experience in process mapping and must possess strong communication skills.

Primary Responsibilities

• Requirements Gathering & Analysis: Collaborate with stakeholders, including business units, technical teams, and clients, to gather and document detailed business requirements and process flows for health insurance systems, applications, and processes.

• Solution Design & Implementation: Work closely with technical teams to translate business requirements into functional specifications, user stories, and system designs. Serve as the primary point of contact for development teams to ensure all requirements are fully understood and addressed in system designs and solutions.

• Testing & Quality Assurance: Support the testing process by ensuring business requirements are correctly implemented, validating system functionality, and conducting user acceptance testing (UAT).

• Onsite-Remote Collaboration: Work effectively with both onsite and remote teams to manage project delivery, prioritization, tracking and ensuring seamless communication, coordination, and alignment across time zones to meet project milestones and deadlines.

• Strong attention to detail and organizational skills.

• Ability to manage multiple tasks and prioritize effectively.

• Client-focused with a commitment to delivering high-quality solutions.

• Ability to adapt quickly to changing requirements and priorities.

  Essential Qualifications

• Experience: about 10 years of experience as a Business Analyst in health insurance systems and/or billing/payment systems.

• Technical Skills: Proficiency in MS Office and other business analysis tools (e.g., SQL/similar programming language, Microsoft Office Suite, Data Import/Export tools).

• Knowledge: Deep understanding of the health insurance landscape, including Contribution Accounting, Billing and Payments, and System Integrations. Ability to document requirements and process

• Analytical Skills: Strong problem-solving abilities with a keen eye for detail and a data-driven approach to analysis.

• Communication: Excellent written and verbal communication skills with the ability to present complex concepts to both technical and non-technical stakeholders.

• Collaboration: Proven ability to work cross-functionally with diverse teams, including IT, business operations, external partners, and remote teams.

• Bachelors in Information Systems, Healthcare Management, or related field.

  Preferred Qualifications

• Healthcare Certifications: Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.

• Contribution Accounting Experience: Familiarity with Contribution Accounting, billing and payment systems is a plus.

  About

  At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, youll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, youll be encouraged to bring your authentic self to work with all of your unique abilities.

  Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing todays healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning todays challenges into tomorrows solutions.

  Come be a part of the Brightest Ideas in Healthcare.

  Company Mission

  Transform the health plan experience how health care is accessed and delivered by bringing outstanding products and services to our partners.

  Company Vision

  Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

  DEI Purpose Statement

  At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

  Annual Salary Range: $100,000-$135,000

  The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

  *We are an Equal Opportunity Employer

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