Product Solutions/Business Analyst

Solventum is a new healthcare company focused on solving significant challenges in the industry. The Product Solutions/Business Analyst will work on delivering solutions for provider, payer, and business partners, supporting population management platforms that aggregate data and enhance care delivery.

Responsibilities:

• Joining a collaborative cross functional team with representatives across the organization to enhance and support payer products and services
• Working with subject matter experts, defining business requirements, standard business rules, and producing documentation that is client-facing as well as technical documentation used by developers
• Performing data analysis and reviewing business rules with business stakeholders to refine product requirements
• Validating results from development teams for implementation of business rules and business requirements
• Presenting standard product capabilities to support product implementation and post implementation lifecycles

Requirements:

• Bachelor's Degree or higher from an accredited university AND eight (8) experience in Healthcare Information Technology
• High School Diploma/GED AND a minimum of twelve (12) years of experience in Healthcare Information Technology
• Six (6) years of experience working in the Healthcare industry, preferably with data analytic experience of commercial, Medicaid and/or Medicare health plans. Strong knowledge in claim analytics, billing, member eligibility, provider data, and quality reports
• Six (6) years of experience performing requirements gathering and analysis
• Six (6) years of experience in writing SQL queries for large data warehouses
• Five (5) years in an analyst role documenting business rules and source to target mapping
• Experience with provider-level data, clinical data management, and working within Microsoft SQL Server environments
• Familiarity with data warehousing and business intelligence terminology, along with experience collaborating with ETL developers, BI architects, and report developers to communicate data mapping
• Experience working within an agile development organization
• Understanding of MS-DRG and APC, as well as proprietary Solventum methodologies, including APR DRG, EAPG, CRG, PPR, PPC, AM-PPC, PFP, and PFE
• Familiarity with statistical methods and models to provide analytic and methodology guidance, along with demonstrating a sense of urgency, ownership, results orientation, and a growth mindset supporting healthcare payment innovation, patient safety, efficiency, quality of care, and value-based care efforts