Springfield, MO · On-site +1
$78K - $101K/yr
... behavior. * Collaborate with technology teams to design and implement solutions that enhance ... Mentor and peer-review junior analysts (BA I-III) on business analysis principles, critical ...
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Springfield, MO · On-site +1
$78K - $101K/yr
... behavior. * Collaborate with technology teams to design and implement solutions that enhance ... Mentor and peer-review junior analysts (BA I-III) on business analysis principles, critical ...
Springfield, MO · On-site +1
... health and hospice organization operating in multiple states with over 8,000 employees ... Our workforce includes caregivers, clinicians, administrative teams, and remote workers nationwide.
Springfield, MO · On-site +1
... health and hospice organization operating in multiple states with over 8,000 employees ... Our workforce includes caregivers, clinicians, administrative teams, and remote workers nationwide.
Springfield, MO · On-site +1
$65K - $75K/yr
Review and approve office supply orders. * Manage backorders and discontinued items to ensure ... Job Type: Full-time. Remote * Travel: This is a primarily remote position based in a home office ...
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Springfield, MO · On-site +1
$65K - $75K/yr
Review and approve office supply orders. * Manage backorders and discontinued items to ensure ... Job Type: Full-time. Remote * Travel: This is a primarily remote position based in a home office ...
Hone is one of the fastest-growing health companies in the United States, and we are looking for ... Review labs and create personalized treatment plans * Prescribe and titrate medications based on ...
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Hone is one of the fastest-growing health companies in the United States, and we are looking for ... Review labs and create personalized treatment plans * Prescribe and titrate medications based on ...
FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care ... This is a hybrid role that requires 4 days remote and 1 day in our Springfield OR St. Charles ...
FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care ... This is a hybrid role that requires 4 days remote and 1 day in our Springfield OR St. Charles ...
Springfield, MO · Remote
$14 - $17.75/hr
Whether your background is in healthcare, customer care, finance, or technical support, this is ... Review the Liveops basic technology requirements Hours: * Choose your own schedule by self ...
Springfield, MO · Remote
$14 - $17.75/hr
Whether your background is in healthcare, customer care, finance, or technical support, this is ... Review the Liveops basic technology requirements Hours: * Choose your own schedule by self ...
Springfield, MO · Remote
$21 - $26/hr
Conduct compliance and quality review on documents, state legislation, codes and procedures ... Health, dental, and vision plans * Amazing work-life balance with 4 weeks of Paid Time Off * 10 ...
Springfield, MO · Remote
$21 - $26/hr
Conduct compliance and quality review on documents, state legislation, codes and procedures ... Health, dental, and vision plans * Amazing work-life balance with 4 weeks of Paid Time Off * 10 ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Springfield, MO · On-site +1
$46.50 - $61.50/hr
Conduct code reviews and ensure adherence to development standards * Contribute to planning, design ... Comprehensive and inclusive health benefits * Flexible work arrangements (remote or office-based in ...
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Springfield, MO · On-site +1
$46.50 - $61.50/hr
Conduct code reviews and ensure adherence to development standards * Contribute to planning, design ... Comprehensive and inclusive health benefits * Flexible work arrangements (remote or office-based in ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
$19.46 - $23.40
2% of jobs
$23.40 - $27.33
9% of jobs
$30.03 is the 25th percentile. Wages below this are outliers.
$27.33 - $31.27
21% of jobs
The median wage is $34.45 / hr.
$31.27 - $35.20
23% of jobs
$35.20 - $39.14
13% of jobs
$42.20 is the 75th percentile. Wages above this are outliers.
$39.14 - $43.08
10% of jobs
$43.08 - $47.01
8% of jobs
$47.01 - $50.95
5% of jobs
$50.95 - $54.88
5% of jobs
$54.88 - $58.82
2% of jobs
$58.82 - $62.76
2% of jobs
$19
$38
$62
A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.
To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.
In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.
$78K - $101K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 8 days ago
As a Senior Business Analyst you will play a critical role as a subject matter expert and primary bridge between client operations and technology delivery, leading end-to-end business analysis on complex, high-impact P&C insurance projects. This role owns the complete requirements lifecycle—from discovery and elicitation through backlog design, sprint demonstrations, and UAT—independently manages the BA workstream for a single client engagement, and mentors’ junior analysts with an optional formal supervisory role overseeing direct reports.
The ideal candidate is a proactive problem-solver who thrives in a dynamic, consultative environment and can translate business needs into actionable insights.
Essential Duties
Acts as a strategic partner to stakeholders by clarifying needs, managing expectations, and ensuring solutions align with business goals, while leveraging tools and technology, including AI, to improve team efficiency and decision-making.
Independently gather, analyze, and document highly complex business, functional, and non-functional requirements; maintain requirements traceability matrices linking business objectives through requirements to test cases.
Design Epics, Features, and User Stories in ADO or JIRA; define measurable acceptance criteria using Gherkin (Given-When-Then) methodology.
Maintain and manage requirements repository—requirement-level change control including impact analysis, handoff facilitation with Dev, UX and QA, and stakeholder communication.
Conduct deep-dive analysis to identify opportunities for process improvement, automation, and efficiency.
Design and implement dashboards for strategic decision-making using tools like: SQL, Power BI, and Tableau; develop advanced analytics models to forecast demand, capacity, or customer behavior.
Collaborate with technology teams to design and implement solutions that enhance business operations.
Lead sprint demonstrations, perform impact analysis, and translate validated requirements into a structured implementation backlog aligned with delivery timelines.
Plan and coordinate UAT—writing UAT plans, coordinating client testers, and tracking coverage against acceptance criteria.
Proactively identify risks, gaps, and misalignments in scope, assumptions, or solution design, and lead resolution efforts to minimize rework and ensure successful delivery outcomes.
Lead BA deliverable planning including user story mapping and backlog refinement; provide and refine effort estimates grounded in complexity and historical data.
Mentor and peer-review junior analysts (BA I–III) on business analysis principles, critical thinking, and Agile practices; guide workload reprioritization and foster a culture of innovation collaboration, and continuous learning.
Optionally supervise direct reports including performance evaluations and career development feedback; participate in recruitment activities.
Skills and Qualifications
Technical Skills:
Advanced proficiency in business analysis tools (eg., ADO, JIRA, Confluence, FigJam, Visio, and Lucidchart.)
Demonstrated experience in process modeling, workflow automation, and requirement documentation
Expertise in Excel, SQL, Tableau, Power BI, or similar platforms.
Strong knowledge of Agile, Scrum, and Waterfall methodologies.
Deep knowledge of the P&C insurance lifecycle including policy, billing, and claims. (Duck Creek experience strongly preferred.)
Familiarity with machine learning, AI, or predictive analytics.
Interpersonal Skills:
Demonstrated ability to mentor and peer-review junior analysts with actionable feedback.
Strategic problem-solving skills with a data-driven mindset.
Excellent communication skills—facilitates requirement walkthroughs and stakeholder workshops for both technical and non-technical audiences with a consultative mindset.
Sound decision-making in ambiguous situations; strong planning and coordination; collaborative and results-oriented; maintains confidentiality and high ethical standards.
Education and Experience:
Bachelor’s degree in Business, Insurance, Information Systems, Finance, or a related field.
7+ years of business analysis experience, ideally within P&C insurance (policy, billing, and/or claims)
Experience independently leading the BA workstream for a client implementation.
Certifications such as CBAP, CCBA, PMI-PBA, SAFe POPM, CSPO, or equivalent; AINS or comparable P&C designation a plus.
Additional Requirements:
This position is full-time and primarily works Monday through Friday 8AM-5PM Local Time, the ability to work outside of primary hours is required as needed
This position can be remote or in one of our offices in Springfield, MO; Puerto Rico, or Honduras
Ability to travel as needed
Bring your authentic self to our team! Strategic thinker. Problem solver. Collaborator. Innovator.
If this sounds like you, we'd love to meet you. Our culture is built around partnership, continuous learning, and delivering exceptional results for our clients. We believe the best solutions come from empowered teams that share knowledge, challenge ideas, and support one another's growth.
As a Senior Business Analyst, you'll have the opportunity to work on complex, enterprise-level insurance initiatives, collaborate with industry experts, mentor future leaders, and make a meaningful impact on our clients' success. We are committed to investing in our people and creating opportunities for professional development, career growth, and long-term success.
If you're looking for a collaborative environment where your expertise is valued and your contributions make a difference, we're hiring.
The Benefits & Perks:Competitive compensation package
Annual bonus opportunities
Comprehensive health, dental, and vision benefits
Flexible work arrangements
Professional development and continuing education opportunities
Career advancement pathways
Paid time off and company holidays
Retirement savings programs
Wellness initiatives and employee support programs
Company-sponsored events and team-building activities
Remote work opportunities
And more!
