Translates ambiguous business needs into solid business and functional requirements for small to large projects with moderate complexity.
Identifies opportunities and contributes recommendations based on analysis of requirements and future impacts.
Partners with business unit and IT or other departments as needed to ensure successful implementation and ongoing business and / or systems support when appropriate.
Creates detailed Use Cases, User Stories and other documents to illustrate business needs.
Facilitate meetings and Joint Application Development (JAD) sessions in a positive way to drive cross functional stakeholders to reach agreements and effective solutions. Meetings may include leadership.
Conducts research and interviews subject matter experts to create "As-is" and "To-be" process flows. Apply critical thinking to evaluate cross functional dependencies, including upstream and downstream impacts.
Contributes to enhancements of Business Analysis best practices and suggestions for improvements.
Creates business facing test scenarios, test scripts/cases, and mockups of data necessary to conduct testing. Creates the traceability between requirements and scenarios to ensure business requirements are met. May monitor and report on testing activity and results.
Consults with others in the development of appropriate training materials to support the needs of functional areas.
May provide support to other entry and junior level Business Analysts.
May investigate and research system problems and enhancements, working collaboratively with IT and business stakeholders to identify options and provide business and / or technical solutions.
Other duties as assigned.
Requirements
Bachelor's degree or four (4) years' work experience. (Required)
Three (3) years of analytical experience in a technical or business environment, including at least 2 years performing business analysis functions (gathering business requirements, documenting process/data flows, and performing gap analyses). (Required)
Experience scaling automation across multiple workflows or operational areas using repeatable delivery patterns. (Preferred)
Familiarity with claims operations or similar process‑driven domains. (Preferred)
Experience building dashboards and operational reporting using Power BI, Tableau, or equivalent BI tools. (Preferred)
Experience using SQL for data analysis (Preferred)
Fluency using AI tools such as Copilot for drafting requirements, analyzing data, summarizing stakeholder input, or accelerating documentation workflows. (Preferred)
Experience with Lean methodology or Six Sigma. (Preferred)
Experience with Azure DevOps, Visio, or Sharepoint. (Preferred)
Experience in healthcare or other regulated industries. (Preferred)
Experience in a project environment
Benefits
Health insurance
Additional Information
Workforce Classification:
Telecommuter
Join Our Team: Do Meaningful Work and Improve People's Lives
Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .
About the role of the Business Analyst III
Help redefine how claims work gets done-at scale and with purpose. As a Business Analyst III , you'll assist in the design and operational delivery of automation and AI-enabled workflow solutions that replace manual, repetitive work with reliable digital decisioning. You'll partner across Product, Technology, and Configuration to build well-controlled process automations, performance dashboards, and data-driven improvements that shorten cycle times, strengthen accuracy, and elevate the member experience. The Business Analyst III is responsible for redesigning workflows rather than manually supporting inefficiencies; identifying opportunities to automate manual business analyst activities; define high-quality business requirements and acceptance criteria; conduct UAT and support production stabilization; and, operate within Claims Optimization rather than fragmented operational support.
Premera · Telecommuter