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Fallon Health Business Systems Analyst II in Worcester, Massachusetts


About Fallon Health:

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org .

Brief Summary of Purpose :

A Business Systems Analyst II will work on projects that generally involve a moderate scope. The BSA II is responsible for analyzing and documenting business requirements, documenting business workflow, developing file mapping and technical specifications, and working with business partners/stakeholders to determine priority of requirements. In addition, assesses system capabilities and interdependencies to define and document business solutions. Works collaboratively with the development team, provides moderate technical guidance while applying effective design concepts. The BSA II proposes or seeks alternative solutions, when necessary, to ensure the proper balance between business and technical needs.


Job Responsibilities:

  • Analyzes and provides high-level project scope for impact and feasibility within the defined time/cost constraints with minimal direction. Assist in the preparation of project scoping documents.

  • Involved in determining appropriate approach (es) to the business analysis effort and in defining required outcomes/deliverables specific to the project.

  • Elicits customers/stakeholder's underlying business needs and concerns through standard methods (i.e., interviews, process workflows for desired state, etc.). Moderate knowledge of standard methods and approaches and applies methods and/or approaches as applicable.

  • Facilitates and documents requirements gathering sessions (involving smaller number of participants) with business representatives/subject matter experts.

  • Manages through conflicts and competing demands. Escalates to Project Manager, direct manager and other more senior colleagues to help resolve more difficult issues.

  • Given proficient business acumen, formulates probing questions and shapes effective solutions to difficult problems. Solutions may have implications or impact milestones.

  • Define and document business requirements clearly and with sufficient detail to enable customer sign-off and support the completion of the Technical Design Document.

  • Develops comprehensive use cases to support the solution development, validates use cases with the customer.

  • Works collaboratively with Development Team to identify data requirements and mapping, establish practical and efficient design and testing approaches, providing suggestions and feedback as appropriate.

  • Works collaboratively with the Design and Development Team during technical design, programming, and initial testing phases of projects. Collaborates with the business to develop the high level testing plan based on documented requirements. Creates the comprehensive test plan and queries to be used for testing, and documents the test results. Validates the output against the business requirements and identifies defects. Collaborates with the Development Team to understand the level of effort involved for each identified defect. Collaborates with the project team to prioritize and resolve defects.

  • Create user and training guides. Conduct training and information sessions for user groups as needed.



Bachelor Degree equivalent experience preferred.




  • Requires 3+ years of business analysis, process mapping, etc. or equivalent experience

  • 3+ year experience writing technical specifications or equivalent experience.

  • 3+ year experience in data analysis in an information technology operating environment or equivalent experience.

  • Strong understanding of data warehousing concepts, relational databases and business applicability in healthcare management.

  • Basic knowledge of SQL and Relational technology and proficient query writing experience or equivalent experience.

  • One year Healthcare Industry experience required.

Fallon Health Vaccination Requirements:

To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.


Location US-MA-Worcester

Posted Date 1 week ago (8/3/2022 5:45 PM)

Job ID 6981

# Positions 1

Category Information Technology