Claims (Benefits) Business Analyst - New Directions Behavioral Health - Work at Home

Claims (Benefits) Business Analyst - New Directions Behavioral Health - Work at Home -
T his is a singular alternative to steer a really extremely seen and impactful implementation of latest enterprise-vast functionality in claims processing from the bottom degree. This chance will present in depth and in-depth expertise in not solely system design and implementation but in addition within the design of key enterprise processes for brand spanking new strains of enterprise. This position will work intently with IT management to develop the general advantages system strategic imaginative and prescient and companion with NDBH management to align enterprise processes with declare system options. This is a wonderful progress alternative for a arms-on Business Analyst to form the advantages perform from the bottom degree.

This place will turn into a distant work-from-house place after the primary four-6 months. The work will primarily be from our house workplace location in Kansas Metropolis, MO till that point.



  • Doc the first enterprise features for the eligibility and plans driving the NDBH claims system and spotlight enterprise execution and enterprise management actions

  • Develop the advantages technique (workflows, processes, system interfaces, and so forth.) technique for the NDBH Claims System based mostly on necessities gathering and situational evaluation

  • Apply a structured enterprise evaluation strategy and methodology for documenting the important thing workflows and course of fashions for NDBH

  • Outline core advantages and plans knowledge units which might be utilized throughout NDBH and the interrelationships of these knowledge units with different key NDBH methods and reporting necessities

  • Seize the relationships amongst NDBH useful roles, capabilities and enterprise models, the development of these enterprise models into processes and workflow degree actions supporting the NDBH Claims System and the interior management of the enterprise models

  • Collaborate throughout NDBH practical models to seek out alternatives for rising enterprise course of enhancements that may be supported by the NDBH claims system and associated know-how options

  • Create enterprise structure fashions that reveal the NDBH operations and the claims system interoperability

  • Conduct evaluation to determine enterprise course of enchancment, system enhancement, consumer-coaching and/or software program improvement/procurement

  • Guarantee enterprise course of options align with NDBH enterprise and claims system structure requirements and rules, leverage widespread options and meet return on funding targets

  • Features as the first liaison between NDBH Advantages/Plans Unit, Claims Administration Division and IT Management to realize broad understanding of rising business tendencies and improvements and applicability to NDBH know-how setting

  • Acts because the NDBH advantages material professional for the on-going improvement and enlargement of the NDBH claims system imaginative and prescient and the continued improvement of the enterprise structure framework, software suite choice and methodology improvement

  • Lead efforts to work with NDBH practical leaders to determine advantages system enterprise functionality wants and prioritization

Schooling & Expertise Required


  • Bachelor’s diploma in Business Administration, Info Methods or Pc Science or commensurate expertise

  • Expertise in translating enterprise-broad views of advantages into techniques technique, processes and capabilities to enabling applied sciences

  • Means to acknowledge useful interdependencies and cross-practical redundancies

  • Expertise utilizing mannequin-based mostly representations that may be adjusted to gather, combination, and assemble complicated and conflicting workflows, processes and knowledge throughout organizations

  • Expertise planning and deploying enterprise and IT initiatives

  • Robust situational evaluation and determination making capabilities

  • three-5 years of enterprise structure expertise with giant, nationwide payer methods

  • Profit and plan information

  • Expertise with Business and Authorities Packages (Medicare and/or Medicaid)

  • Demonstrated potential to efficiently handle a number of relationships throughout inner and exterior buyer stakeholders

  • Group participant capable of work successfully at all ranges of the group with the power to affect others to maneuver in the direction of consensus

  • Have to be prepared to journey on an as-wanted foundation

Most popular Expertise & Expertise


  • Strongly most popular TriZetto Sides® software or equal system most popular

  • Expertise with Blue Card processing

  • Eligibility enterprise analyst expertise

New Directions Behavioral Health is an Equal Alternative Employer and all certified candidates will obtain consideration for employment with out regard to race, colour, faith, intercourse, nationwide origin, incapacity standing, protected veteran standing, gender id, sexual orientation or another attribute protected by regulation.

We provide a really aggressive compensation and advantages package deal.


For consideration, please apply on-line at http://www.ndbh.com




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