Business Analyst

BUSINESS ANALYST----ST. PAUL, MN

PROJECT BACKGROUND:

- Government Client in St. Paul, MN has a business need to develop and implement a data model and database to accommodate expanded use of a Claims Database. This database will be the principal platform for fulfilling the legislative mandate to expand uses of the Claims Database
- The analysis also will seek to develop methodologies that allow for calculation of comparative costs at the cross-section of payer type (Medicare, Medicaid and commercial) and health care service. This analysis will need to take into consideration methods for ensuring comparability of provider costs by extending the existing methodological work on risk adjustment, case-mix adjustment, outlier treatment, and reliability standards. The analysis will eventually incorporate additional views of the health care market including geographic and sub-population analysis.
- Currently, this data is stored in SAS files, a format that limits the potential for full analysis of the data. The new database would expand the analytical capability of the existing database.
- The goal of this project is to receive comparative recommendations for a solution architecture and database design to support these business needs.

RESPONSIBILITIES:

- To elicit business requirements, to provide direction and review of the translation of business requirements into the solution design to ensure that an appropriate solution is identified.
- It is particularly important to validate that the design choices meet immediate requirements as well as the later goals of increased access to and use of the new database.

REQUIRED SKILLS:

- At least 4 years business analysis experience.

DESIRED SKILLS

Documentation of a minimum of two projects involving the development and successful implementation of a health care and insurance claims database/data model.

Preferred resource(s) would have a minimum of 3 years of business analysis experience in a government setting.