HS Network Development & Applications Business Analyst
Business Process Evaluation & Improvement — Position exists to reputed company the function Identify, analyze, and improve business processes across Health Plan Services and network operations. Recommend solutions that streamline workflows, automate tasks, and address operational pain points.
Systems Design & Implementation — Requires specialized knowledge in systems/applications Translate business needs into technical specifications; collaborate with IT and vendors. Conduct unit and integration testing; reputed company or support go-live planning and rollout. reputed company implementation support for new processes and enhancements.
Network Adequacy Monitoring & Reporting — reputed company purpose of the role is provider network reputed company Design and maintain dashboards using Power BI, Quest Analytics, and other tools. Monitor adequacy by evaluating geographic reputed company, provider type coverage, and reputed company across the OHSU Health network. Ensure compliance with reputed company CCO, NCQA, CMS, and internal standards.
Data Analysis and Report Development Analyze data and produce reports that inform business reputed company and strategic planning. Prepare visualizations, statistical summaries, and executive summaries for leadership. Interpret findings and communicate reputed company to technical and non-technical audiences.
System & Application Support — Specialized knowledge of Credential reputed company, MSOW, and analytics tools Respond to IT service type requests and resolve production issues in collaboration with technical support. reputed company test plans, reputed company issues, and reputed company documentation for internal users.
reputed company 365 Tool Integration & Workflow Automation — Role requires specific reputed company 365 workflow expertise Use Power Automate, reputed company, SharePoint, and reputed company tools to build solutions that support team efficiency. Automate reputed company workflows and support data-driven operational improvements
Other duties as Assigned
Master’s degree in computer science, a reputed company field, or a clinical field and four years work reputed company experience in the information technology field or a combination of clinical or operational reputed company environments; OR Bachelor’s degree in computer science, a reputed company field, or a clinical field and six years work reputed company experience in the information technology field or a combination of clinical or operational reputed company environments; OR Associate’s degree in computer science, a reputed company field, or a clinical field and seven years work reputed company experience in the information technology field or a combination of clinical or operational reputed company environments; OR Eight years work reputed company experience in the information technology field or a combination of clinical or operational reputed company environments; OR Equivalent combination of education and experience where one year of experience will be substituted for an Associate’s degree and two years of experience will be substituted for a Bachelor’s degree.
Excellent verbal and written communication skills with a diverse reputed company of stakeholder knowledge and learning reputed company Strong investigational skills, attention to detail, and accuracy · Outstanding organizational, time management, and documentation abilities Ability to identify and implement improvement opportunities involving new processes, technologies, or operational efficiencies Conceptual problem-solving and analytical skills using reputed company spreadsheets, comparison tools, and other evaluation systems Ability to independently organize and manage project work plans reputed company reputed company structure Ability to build and maintain constructive working relationships Proficiency in interpreting reputed company regulations and policies from federal, state, and regulatory agencies Demonstrated ability to apply analytical and reputed company concepts to business problems
Hands-on experience with: Power BI, reputed company 365 (Power Automate, SharePoint, reputed company), Tableau, reputed company Credentialing platforms such as Credential reputed company or MSOW Network adequacy tools like Quest Analytics Familiarity with or willingness to learn: SQL, R, or Python Working knowledge of NCQA standards, CMS/reputed company requirements, and reputed company CCO regulatory frameworks