Clinical Business Analyst

Company Name:
STI Global Consulting
Works collaboratively with various levels of clinical staff and Information Systems staff to clarify needs, prioritize requests, and recommend workflow enhancements. Responsible for evaluating and documenting clinical processes, including step actions and workflows to construct and enhance the clinical model of care.
Essential Functions:
Acts as subject matter expert for an assigned work stream unit - Intake, UM, CM, DM, Reporting or Appeals.
Assists in the documentation and gathering of detailed requirements and workflow processes and analysis.
Reviews current workflow and lead recommendations and defines requirements to build processes and forms needed to support the business in the new system.
Recommends and implements software based on best practices.
Analyzes customer needs and identify system and procedural solutions to enhance the clinical practices.
Identifies opportunities to leverage technologies in areas that improve and promote the clinical agenda.
Performs gap analysis.
Identifies needed process changes to ensure compliance with the use of technology to optimize care delivery processes and effectively communicate patient care activities.
Performs application testing and creates test scripts SIT/UAT.
Develops and creates test plans for SIT and UAT.
Performs UAT Testing.
Works with IT to resolve update issues.
Communicates with Clinical Architect Leads to obtain sign-offs.
Ensures updates are tested and applied on a timely basis.
Provides documentation and training as needed.
Insures technology meets Compliance and Regulatory Requirements.
Performs other duties as assigned.
Candidate Education:
Required A Bachelor's Degree in a health sciences field
Required or equivalent work experience 5+ years clinical experience with active RN/LPN/MD/DO/ARNP/RT/Phar.D. license in a managed care setting
Candidate Experience:
Required 5+ years of experience in a position that requires participation in and knowledge of Care Management operations and regulations that affect clinical processes and reporting
Technical Skills:
Required Intermediate Microsoft Outlook
Required Intermediate Microsoft Word
Required Intermediate Microsoft PowerPoint
Required Advanced Microsoft Excel
Required Intermediate Microsoft Access
Required Advanced Microsoft Visio

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