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Principal BSA
Bloomington, Minnesota  |  Hybrid, Onsite
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Applied on July 28, 2021
Job Id #48088 Posted June 3, 2021

What We Expect From You

Knowledge Level:

  1. Serves as technical subject matter expert on multiple health plan administrative systems.
  2. Possesses expert knowledge of assigned systems/business operation functions including: system functional capabilities, data interfaces to/from other applications, system outputs, database structures, business processes and procedures, applicable national medical code sets, and relevant federal and state regulatory requirements.
  3. Expert in one or more federal HIPAA health plan transaction standards.

Core Administrative System Fixes/Enhancements

  1. Serve as business systems technical project lead for implementation of large* and/or complex system enhancements/fixes
  2. Analyze business users needs and requirements and lead the planning, design and development of core administrative systems or devise ways to apply existing systems to additional operations or specialized programs
  3. Responsible for the creation of highly detailed business requirements documents for large/complex system fixes/enhancements and required systems control environments Obtains required business requirements sign-off from business operations and IS&T staff.
  4. Participates in the development and review of technical systems design recommendations to validate that system functionality is in alignment business requirements.
  5. Assists in the evaluation of potential operational impacts and works with business operations staff in identifying and documenting changes to current business workflows.
  6. Develop systems testing strategy and test plan documents, including identification of required test scenarios and expected results; Review test plan with business operations staff to validate accuracy of test plan.
  7. Conduct required business user system testing and, if needed, review results with business operations andcontacts to obtain final user acceptance testing sign-off.
  8. Work with and business operations staff to identify implementation tasks and schedule date for system fix/enhancement installation.
  9. Directs and/or participates in the development of user manuals, technical systems documentation, and business operational procedures.
  10. Develop post-implementation strategy and conduct monitoring to validate successful implementation of system fix/enhancement.

Report Generation

  1. Knowledge of database design and concepts
  2. Interact with business owners in the organization to understand current and future requirements
  3. Proactively and independently formulate actions plans to resolve problems
  4. Design, program and test required report(s) using appropriate report generation software tool.

Required Qualifications

  • Bachelor's degree in Computer Science, Business Administration, Management Information Systems or equivalent. Applicable previous experience may be considered for this qualification.
  • 5+ years’ experience in business systems analysis and/or systems development.
  • 5+ years demonstrable experience working as a Business Analyst with Product Owner experience in healthcare operations
  • 5+ years working with stakeholders, partners and gathering requirements
  • 5+ year Agile Methodology and Tools experience
  • 3+ years' experience with BI / Data warehouse analyst
  • Experience working with BI Software; familiarity with UI designing.
  • 3+ years' experience with SQL, with demonstrated ability to derive insights through efficient SQL queries
  • Experience working with Financial Systems
  • Project management experience as business lead successfully meeting large or very complex project deliverables and timelines on multiple projects. Includes managing a major project (1000+ hours) from initiation through successful implementation and acceptance.
  • Expertise in CQI, system development methodologies and data object mapping.
  • Experience and proficiency in/with
    • multiple health plan administrative systems
    • interpreting system data models
    • database applications and end-user software
    • analytical and reporting tools
  • Excellent communication skills in technical and non-technical topics.
  • Excellent analysis and problem solving skills.

Preferred Qualifications

  • Fourth generation program language (4GL) experience (i.e. SQL, Crystal Reports, Visual Basic, Business Objects, etc.).
  • Expertise in multiple health plan administrative operational areas.
  • Experience using MS Office applications, flowcharting tools, and/or other project management tools
  • Two or more years of experience with continuous quality improvement concepts and methodologies
  • Experience working with multiple health plan administrative systems;
  • Experience with various electronic processes and systems including external and internal interfaces and systems integration.

Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.

In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact

All applicants applying must be legally authorized to work in the country of employment.

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You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Horizontal is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.


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