Senior Business Analyst – BPM, Trainer

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the analysis, design, documentation, and enhancement of business processes.

• Organize stakeholder workshops and client meetings to collect, confirm, and document requirements.

• Detect gaps and propose effective solutions.

• Create and uphold BPMN 2.0 business process models, workflows, use cases, and related documentation.

• Ensure that requirements, design artifacts, and project documentation are in line with business and operational needs.

• Direct business analysis activities across various projects and mentor junior team members.

• Formulate project estimates and assist in planning for business analysis, process modeling, and training initiatives.

• Collaborate with business, operational, technical, clinical, and vendor stakeholders to assess impacts and establish business rules.

• Uphold documentation standards, conduct quality reviews, and manage the publication of process models and knowledge assets.

• Evaluate training requirements and supervise training programs, eLearning content, job aids, procedures, and operational readiness materials.

• Provide support for LMS administration, including learning paths, training surveys, content deployment, and coordination of instructor-led training.

• Analyze and enhance Medicaid pharmacy and care management workflows.

• Convert pharmacy policies, clinical criteria, system configurations, and operational procedures into requirements, process models, training materials, user guides, and job aids.

• Create scenario-based training, demonstrations, and validation materials for pharmacy and care management users.

⛳️ Requirements

• Bachelor’s degree or a comparable combination of education and experience.

• 5+ years of experience in business analysis, including implementations within healthcare or government healthcare systems.

• Proficient in analyzing and designing business processes, workflows, use cases, and functional requirements using BPMN 2.0 or similar methodologies.

• Strong knowledge of CMS, MITA, Medicaid operations, compliance requirements, data management, and customer service delivery processes.

• Expertise in relational databases, system integrations, technical documentation, and converting complex healthcare concepts into business and training solutions.

• Experience in developing and delivering training programs, including LMS administration, eLearning content, learning paths, surveys, and instructor-led training.

• Familiarity with Medicaid pharmacy and care management, including utilization management, prior authorization, appeals, formularies, drug utilization review, clinical edits, member lock-in programs, and care coordination.

• Ability to work collaboratively with pharmacists, clinicians, care management teams, policy staff, operations, product, configuration, and technical teams.

• Excellent interpersonal and communication skills.

• Advanced leadership and project coordination abilities.

• Strong analytical, presentation, and client-facing skills.

• Willingness to travel according to project requirements.

• Availability to support office hours in the Alaska time zone, 8 AM–5 PM Alaska time.

• Video camera required during interviews and the first week of orientation.

• Photo verification required throughout all recruitment screening stages.

🏝️ Benefits

• Flexibility in work arrangements.

• Opportunities for learning and career development.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.