Job Description:

Essential Functions

• Participates in Business Process Management (BPM) including modeling processes using various notations (i.e., BPMN), creating components, implementing processes, and assessing the results. Regularly interprets and monitors departmental contractual compliance of government requirements (e.g., CMS, HIPAA, ACA) including determining the business impact and managing the collection and submission of required performance metrics and data reporting requirements. Actively participates on national and local standards committees. Provides project guidance and training to less experienced users/analysts to increase department and systems knowledge and understanding.
• Maintains an in-depth understanding of current project management application development methodologies, tools, and techniques (SDLC) for large sized projects. Responsible as a subject matter expert for project team and vendor activities for assigned projects; applications including business and technical research, planning, analysis, risk assessment, quality assurance, documentation, communication and deployment. Provides project management for large sized projects, initiatives and applications.
• Provides support as projects and applications move through the process and post implementation. This includes: interface trouble shooting, vendor relations, issue tracking, communication to customers and opening incident tickets with developers for problem resolution.
• Oversees accuracy of department processes and policies by facilitating the development and execution of user acceptance scenarios and scripts for testing of system changes and enhancements, including the development and implementation of testing protocols and procedures. Gathers/develops and documents business requirements and functional mapping documents to support system enhancements.
• Evaluates and provides assistance and guidance to process owners and internal stakeholders in the planning and execution of process improvement activities including identifying suitable strategies, methodologies, and interventions necessary to achieve desired outcomes.
• As a standalone or in collaboration with others, develops, publishes, and maintains complex queries and reports for daily, weekly, monthly, and quarterly use by extracting data from multiple sources. Provides business intelligence solutions by turning data into useful and meaningful information so stakeholders can make timely and informed decisions.
• Collects, manipulates, and analyzes data from system to system, assessing trends to be used for performance improvement initiatives and to solve business or system related problems (troubleshooting). Participates in cost analysis and design for projects and applications.
• May be responsible for staff supervision, payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence.

Skills

• Analytical Thinking
• Business Acumen
• Technological Nomenclature
• Communication
• Data Interpretation
• Data Reporting
• Mentoring
• Coaching
• Strategic Planning
• Project Management
• Cost Analysis
• Facilitation
• Continuous Improvement
• Work Prioritization
• Quality Assurance
• Documentation

Minimum Qualifications

• Bachelor's degree and four years of experience in health care, health insurance, business analysis or information systems. Degree must be obtained through an accredited institution. Education is verified. -or-
• Eight years of experience in health care, health insurance, business analysis or information systems.
• Demonstrated advanced skills with spreadsheets, word processing, and database applications.
• Demonstrated ability to design and run complex queries and reports.

Preferred Qualifications

The following qualifications are preferred but are not required for consideration:

• Experience working as a business analyst within pharmacy, pharmacy benefits, PBM, or a related healthcare environment.
• Moderate to advanced SQL skills, including experience developing queries to analyze, validate, and troubleshoot data across multiple data sources.
• Experience with GitHub or similar source-control platforms for managing code, queries, documentation, and development changes.
• Understanding of and experience working with API integrations, including the ability to interpret technical documentation and support data exchanges between systems.
• Experience working within the healthcare or health insurance industry, with an understanding of healthcare business processes and data.
• Understanding of how healthcare data is produced, consumed, transformed, validated, and exchanged between internal systems, vendors, and external partners.
• Experience reviewing and interpreting regulatory, compliance, and technical documentation and translating requirements into business rules, system requirements, reporting specifications, or operational processes.
• Experience designing, developing, and validating reports based on regulatory and compliance requirements, including translating written requirements into data elements, business logic, calculations, and report outputs.
• Strong analytical, organizational, communication, and complex problem-solving skills, with the ability to investigate issues across business processes, systems, and data.
• Ability to translate and communicate complex business and technical concepts to both technical and nontechnical audiences.
• Knowledge of healthcare products and services, contractual requirements, health insurance regulations, and regulatory reporting requirements.
• Ability to collaborate effectively with business stakeholders, developers, compliance teams, operational teams, vendors, and other technical resources to develop and implement solutions.

Physical Requirements

• Interact with others requiring the employee to communicate information.
• Operate computers and other IT equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.