Senior Business Systems Analysis Professional

San Antonio, Texas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess 5 or more years of technical experience, including experience with writing and testing test cases and scenarios. A working knowledge of ad-hoc query tools and data repositories for data extraction and manipulation is required, along with knowledge of the Systems Development Life Cycle and experience in problem analysis and process improvement. Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, Access, PowerPoint, and Visio, is necessary. A background in Medicare and/or Medicaid products is preferred, and a Bachelor's degree, Six Sigma certification, or PMP certification are considered additional qualifications.

Responsibilities

The Senior Business Systems Analysis Professional will analyze business, process, and user needs, documenting requirements and performing cost/benefit analysis to translate them into system requirement specifications. This role involves defining systems and objectives based on user needs and industry requirements, devising or modifying procedures to solve complex problems while considering system capacity and limitations, and validating the benefits achieved from solution implementations. The professional will also influence department strategy and make decisions on technical approaches for project components without direct supervision, exercising considerable latitude in determining objectives and approaches.

Skills

Business Analysis

Process Analysis

Requirements Documentation

Cost-Benefit Analysis

System Requirement Specifications

Test Case Writing

Testing Scenarios

Ad-hoc Query Tools

Data Repositories

Data Extraction

Data Manipulation

Systems Development Life Cycle (SDLC)

Problem Analysis

Microsoft Office Suite

Microsoft Word

Microsoft Excel

Microsoft Access

Microsoft PowerPoint

Microsoft Visio

Medicare

Medicaid

Six Sigma

PMP

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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