Business Analyst

• Own HIPAA-compliant source-of-truth artifacts. Serve as the accountable owner for several Excel-based artifacts that govern Medicare claims business rules, edits, code sets, or requirements.
• Maintain version control, change history, and documentation so these remain authoritative and audit-ready, and handle all content in accordance with HIPAA and CMS data-handling requirements.
• Apply deep Medicare claims expertise. Act as the subject matter expert on CMS Medicare Part A (institutional, hospice, home health) and Part B (professional, outpatient, DME) claims processing, including how claims are edited, and use that expertise to evaluate the downstream impact of every proposed change.
• Validate changes internally. Review and validate proposed updates to the spreadsheets before they go out, confirming they're accurate, internally consistent, and aligned with CMS policy and program requirements.
• Identify discrepancies, edge cases, and ripple effects early.
• Communicate changes externally. Be responsible for sharing validated changes with external stakeholders, including CMS counterparts, in a clear, well-documented, and timely way.
• Maintain the narrative around what changed, why, and what it affects.
• Bridge product and engineering. Partner closely with the Product Manager to translate policy and program needs into clear requirements, and work directly with Engineering leadership to ensure those requirements are understood, technically feasible, and implemented faithfully.
• Surface tradeoffs and risks so decisions get made with the full picture.
• Keep everyone aligned. Facilitate the flow of information across functions—reducing ambiguity, documenting decisions, and ensuring that policy, product, and engineering stay in sync as the work evolves.

Project Manager – Business Analyst

• Supports a broad system-wide portfolio including Surgery, Cardiovascular, Anesthesia, and Ambulatory Surgery Centers across Massachusetts and Rhode Island
• Functions as a strategic and operational partner to the SVP, VP, and operational leaders supporting both day to day performance and long-term planning
• Advances operational and financial performance through hands-on business planning and detailed financial analysis
• Identifies opportunities, solves complex problems, and drives measurable results
• Partners closely with directors to manage budgets and monitor performance
• Develops a working understanding of clinical workflows and financial performance opportunities
• Conducts detailed analyses that inform operational strategy and growth planning
• Collaborates with the budget office to review and respond to monthly variance reporting

Senior Analyst, Business Operations

• Utilize consulting, analysis, and domain skills for optimal client outcomes
• Provide business analysis support for client advised projects
• Serve as requirements expert
• Collaborate with Director- Client HealthCare Consulting to define client-specific configurable variations
• Conduct analysis and document findings
• Execute procedures and improve processes
• Validate and/or test efforts to ensure results meet requirements
• Create training materials and assist in coaching virtual team

Health and Welfare Business Analyst – Benefit Implementations

• Document business processes
• Prepare executive communications
• Develop reports and presentations
• Support strategic planning efforts
• Facilitate stakeholder meetings

Federal Business Analyst, Technical Writer

• Responsible for being the domain expert for Defined Benefit Plans
• Support from a customer and participant perspective
• Handle highly complex issues to resolution
• Engage with other lines of business on projects
• Provide leadership, technical support, and workflow management
• Evaluate requests from other areas of the firm
• Manage multiple projects of medium to high complexity
• Own and analyze operational issues and recommend business solutions
• Support DB’s interests in collaborating with the cross product/functional SMEs

Business Analyst – Defined Benefit

• Collaborate with stakeholders to gather and document business requirements
• Analyze and translate business needs into technical specifications
• Conduct feasibility studies and impact analysis for new projects and enhancements
• Work with IT and development teams to design and implement technology solutions
• Ensure that solutions meet business requirements and are delivered on time and within budget
• Develop and maintain detailed project plans, including timelines, milestones, and resource allocation
• Identify opportunities for process improvements and automation
• Develop and implement strategies to enhance business processes and workflows
• Monitor and evaluate the effectiveness of implemented solutions
• Build and maintain strong relationships with business stakeholders
• Facilitate communication between business units and IT teams
• Provide regular updates and reports to stakeholders on project status and progress
• Develop and execute test plans to ensure the quality and functionality of IT solutions
• Identify and resolve any issues or defects in a timely manner
• Ensure that solutions comply with industry standards and best practices
• Provide training and support to end-users on new systems and processes
• Develop user manuals and training materials
• Assist with troubleshooting and resolving technical issues

IT Business Analyst

• Work closely with TEM Product Leadership, Engineering, Distribution, Operations, and global partners to design, deliver, and support product capabilities across the TEM ecosystem.
• Drive complex product initiatives forward within the TEM Product Area, translating business needs into actionable requirements.
• Lead end-to-end business analysis across multi-team epics and sub-initiatives.

Consultant, Business Analyst – Tax Exempt Market

• Analyze business requests to be solved with automated systems.
• Formulate and design automated systems scope and objectives based on both user needs and a good understanding of applicable business systems and industry requirements.
• Provide expertise in identifying, evaluating and developing systems and procedures that meet user requirements and are within stated sizing estimates.
• Configure system settings and options; plan and execute business design, assist in integration and acceptance testing, where necessary; and create specifications for system to meet business requirements.
• Include analysis of business and user needs, documentation of requirements, and translation into proper system requirement specifications.
• Begins to develop working relationships with client end-users, programmers and test analysts while assisting with the analysis, design, configuration, testing and maintenance of systems.
• Maintains communications with end-users for feedback to ensure systems continually meet the client's expectations.
• Analyzes basic problems and issues (complexity varies based on data requirements and business specifications) and offers standard business solutions.
• Coordinates and facilitates client meetings.
• Develops simple business specifications and logical flowcharts that include features and functions from which programmers can create technical specifications.
• Demonstrates a basic knowledge of systems/modules to design system screens and database structures.
• Works with programmers to design and develop requirements and learns to analyze the feasibility of new systems and enhancements to existing systems.
• Prepares input for system design, including final report and screen definition, logical system flow and implementation plans.
• Provides support with the resolution of issues that may cross multiple systems and affect the business process and tracking of application incidents/issues; becomes familiar with how to identify system impact of changes in the business, user needs, external business environment and operating systems.
• Develops documentation to include, but not limited to bulletins, manuals, file layouts and application design layouts for internal, client and training purposes.
• Assists with the preparation and coordination of client training and documentation for installation of systems and upgrades.
• Tracks and learns to document changes for functional and business specifications; writes detailed, universally understood procedures for permanent records and for use in training.
• Assists with coordinating documentation and client follow-up evaluation monitoring; post-implementation problems and revision requests.
• Maintains and administers procedures, methodology and/or application standards to include payment card industry and security related compliance.
• Demonstrates a working knowledge to conduct and support testing/planning/validation by clarifying the intended functionality.
• Participates in the resolution of issues to ensure a successful implementation.
• Tests and learns to analyze possible courses of action and solutions.
• Assists with coordinating implementations including vendor and in-house testing, readiness assessment, training and hardware capacity evaluation.
• Assists with the project planning efforts on small development efforts.
• Tracks project progress, collects and analyzes information and trends, and communicates to the user community any anticipated schedule deviations.
• Maintains software deployment plans as directed.

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