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Business Systems Analyst
Raleigh, North Carolina  |  Remote, Onsite
Contract to Hire Position
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Applied on October 20, 2021
Job Id #51038 Posted September 30, 2021


Projects the candidate will be working on:

  • The MBMNow application requires a resource to analyze clinical process flows and program them into clinical assessments to support the UHC M&R onboarding for specialty pharmacy (Specialty Guidance Program), in addition to ongoing maintenance of clinical flows for existing UHC member populations.

Ideal Background:

  • We want to be as specific as possible with our firms so they can find the type of candidate youre looking for.
  • Candidate should have life sciences or managed care experience.
  • They should also have experience mapping business processes or rules and be comfortable translating large amounts of data into a decision tree.
  • The candidate needs to be quality oriented as changes they make to our application will be viewed by UHN providers in the MBMNow production environment.
  • Candidates with prior business or product analyst experience are preferred.

Experience:

  • Prior experience in managed care or the life sciences with a focus on business process mapping

Team and Team size:

  • The role will be a part of a team of three; two analysts and a contributor/manager who manages intake of the clinical assessments

Top Responsibilities:

  • for specific services, functions, and solutions available internally or as a supporting element of a product, typically not sold stand-alone externally.
  • Positions in this function play a critical role in ability to deliver products to market and/or manage internal business functions.
  • Capability management requires alignment to business and/or product strategy, effective design and development, and ongoing management of capability portfolio across the full lifecycle to ensure business-specific or cross-enterprise impact.
  • Market insights are leveraged to monitor trends and external landscape, and to inform capability strategies and customer use case scenarios.
  • Positions in this function are accountable for delivering sustainable, financially sound solutions that solve a specific problem and enable successful external product delivery and/or internal business function performance, while driving adoption with internal business clients and define future capability direction that supports business strategy and new opportunities.
  • Own data related elements to support clinical oncology assessments loading into the MBM Prior Auth platform
  • Digest detailed clinical flows to determine appropriate clinical questions to build rules around
  • Build clinical rules into rules engine
  • QA Clinical rules build
  • Gather business requirements to support feature development
  • Assist Product Owners and Scrum teams in additional data related work and activities
  • 2+ years business analysis or equivalent experience working on high profile, large-scale product launches.
  • 2+ years experience in the HealthCare industry.
  • Candidate will be part of a team, and working with one other person performing these same activities

Skills needed:

  • Must be very detail and process oriented
  • Ability to QA own work and work of colleagues

Working Time:

  • Work hours are standard day work hours 8am-5pm
Interview Process:
  • a. How many rounds? Two. One with me and the existing senior analyst. Another with one of my peers and another analyst.
  • b. Video vs. phone? Video is preferred.
  • c. How technical will the interviews be? Minimal. There will be no technical assessment, but I will ask questions about the candidates experience completing similar tasks.
  • d. When do you anticipate starting the interview process? Immediately

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 hr@horizontal.com.

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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