Optum CES/Facets Business Analyst 1157

job summary:
We are seeking a seasoned Business Analyst with expertise in Optum Claims Editing System (CES) with integration experience with Facets and Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignments. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies, Optum CES and Facets experience.

Under minimal supervision, formulates and defines systems scope and objectives through research and fact-finding, combined with an understanding of applicable business systems and industry requirements. With this knowledge, develops or modifies moderately-sized information systems. Includes analysis of business and user needs, documenting requirements, and revising existing system logic issues as necessary. Considers the business implications of the application of technology to the current business environment. Assists and advises less-experienced Business Systems Analysts. Competent to work in some phases of systems analysis, but may require guidance in others.

location: Grand Rapids, Michigan
job type: Contract
salary: $60 - 75 per hour
work hours: 8am to 5pm
education: Associates

responsibilities:
Essential Functions:

• Under minimal supervision, with the implications of the application of new/differing technology to the current business environment in mind, utilizes research and analysis, along with an understanding of relevant business systems and industry requirements, to define systems scopes and objectives for developing new, or improving existing, information systems.
• Performs business analysis, workflow analysis and optimization, works with users to define their needs and then document requirements.
• Collaborates with others to troubleshoot issues with existing systems.
• Remains current with business requirements and needs, based upon future industry trends and changes and understands the implications for existing technology.

Qualifications:

• Required Associate's Degree Technical school or equivalent
• Preferred Bachelor's Degree or equivalent
• 2 years of relevant experience in the field Required
• 3 years of relevant experience in the field Preferred
• Experience formulating and defining systems scopes and objectives Preferred
• Experience in systems development lifecycle, including requirements gathering and design Preferred
• Participant in multiple phases of an integrated system implementation Preferred
• Background in a health care, sciences or information systems Preferred

qualifications:
Qualifications:

- Required Associate's Degree Technical school or equivalent

- Preferred Bachelor's Degree or equivalent

- 2 years of relevant experience in the field Required

- 3 years of relevant experience in the field Preferred

- Experience formulating and defining systems scopes and objectives Preferred

- Experience in systems development lifecycle, including requirements gathering and design Preferred

- Participant in multiple phases of an integrated system implementation Preferred

- Background in a health care, sciences or information systems Preferred

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.