Guiding Care Business Analyst

ALTA IT Services • Permanent • Maryland, United States • $57 / * • 23h ago

Job Title: Guiding Care Business Analyst Location: DMV Type: Contract to Hire Compensation: $57/HR Contractor Work Model: Remote ALTA IT Services is seeking a Lead Business Analyst for a high-impact, fast-paced healthcare project with a national health insurance client. This role is responsible for building clinical letters using SmartComm within HealthEdge's care coordination platform, GuidingCare. The Lead BA will drive the end-to-end integration of clinical letter development processes, ensuring that all outputs meet strict regulatory and compliance requirements for clinical teams. The ideal candidate will be a self-starter, outcomes-driven, and able to thrive under aggressive timelines, collaborating across teams to deliver high-quality, regulation-compliant documentation and systems analysis. Key Responsibilities: Clinical Letter Development & Integration: Lead the development of clinical letters using SmartComm, integrated with GuidingCare. Ensure all letter templates meet regulatory and clinical team requirements. Act as SME on the SmartComm-GuidingCare integration processes. Business Requirements Management: Elicit, analyze, document, and validate business and functional requirements for complex healthcare systems and processes. Translate business needs into clear technical specifications and workflows. Facilitate and lead requirements gathering and design review sessions. Testing & Quality Assurance: Own the User Acceptance Testing (UAT) process - from test planning and documentation to defect resolution. Identify system gaps, compliance issues, and design deficiencies with root cause analysis and resolution planning. Documentation & Communication: Prepare high-quality business documentation, process flows, and reports adhering to organizational standards. Serve as a liaison between business users and technical teams to ensure accurate translation of requirements. Issue Resolution & Support: Troubleshoot complex problems across systems and processes, collaborating with IT, business, and vendor teams. Track, prioritize, and manage open issues to resolution. Leadership: Mentor and guide junior analysts, assigning tasks and ensuring quality deliverables. Provide strategic insight into process improvements, requirements development, and regulatory alignment. Required Skills & Experience: Mandatory: Hands-on experience with SmartComm for clinical or member communications. Deep knowledge of GuidingCare, especially integration and letter generation workflows. 5-8+ years of experience as a Business Analyst in the health insurance or healthcare domain. Proven experience leading complex, high-visibility projects with aggressive timelines. Strong understanding of healthcare compliance and regulatory documentation standards. Ability to work independently, drive outcomes, and manage priorities in a fast-paced environment. Preferred: Experience with HealthEdge systems or similar care management platforms. Familiarity with clinical workflows, UM/CM processes, and payer operations. System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. Ref: (ALTA IT)

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