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  • ID
    #21347293
  • Salary
    TBD
  • Source
    Geisinger Health System
  • Date
    2021-10-18
  • Deadline
    2021-12-16
 
Full-time

Vacancy expired!

Job SummaryResponsible for accurately documenting workflow, processes, business rules, data, systems, and other business information required for a clear picture of the business. Coordinates the development, documentation, analysis, and review of business requirements. Apply business rules, processes, and workflow to the use of new or redesigned solutions.Job DutiesDefines business view of solution scope as well as a scope that is feasible.

Performs stakeholder analysis to identify and determine stakeholder needs.

Manages baseline and changes to requirements.

Plans and estimates business analyst activities, communications, and requirements management process.

Defines business need and capability gaps driving the need for an enhancement or solution to be developed.

Plans requirements elicitation activities and documents and validates elicitation results.

Prioritizes requirements according to the project and stakeholder needs.

Determines solution alternatives and assess for feasibility, risk, business value, and defines the approach selected.

Translates business specifications into clear and concise functional specifications for use by developers and configuration specialists.

Specifies and models requirements in visual and textual formats at various levels of abstraction.

Validates requirements, assumptions, and constraints with stakeholders.

Verifies requirements of sufficient quality with stakeholders.

Allocates requirements based on project and solutions needs.

Evaluates and validates the solution meets the business needs of the stakeholders.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).Position DetailsLeads and facilitates a monthly leadership Denials Management Meeting

Interacts with all levels within Revenue Management to gather information and updates about denial reduction initiatives.

Proactively identifies operational changes and its positive or negative impact to denials

Identifies and pursues opportunities for improvements in denial performance

Identifies potential operational changes and improvements to enhance efficiency in relation to denials within Revenue Management and decrease waste related to denial activities

Researches and analyzes denial data for patterns, trends and opportunities. Coordinates denial recovery responsibilities.

Coordinates higher level updates and detailed plans for denial improvements.

Ability to translate detailed operational plans into executive level updates.

Ability to adapt and thrive in a fast-paced environment

Follows industry best practices and benchmarks for denials

Strong sense of accountability

Excellent interpersonal (verbal and written) communication and networking skills

EducationHigh School Diploma or Equivalent (GED)- (Required)ExperienceMinimum of 9 years-Relevant experience (Required)Certification(s) and License(s)OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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