Business Analyst - The Health Plan **Fully Remote**

Position: Business Analyst - The Health Plan **Fully Remote**

Job ID: 165003

Location: US-TX-Houston

Department: Credentialing Management

Talent Area: Professional - Non-Clinical

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


We are searching for a Business Analyst — someone who works well in a fast-paced setting. In this position, you will perform process, procedure, and forms analysis and design within the department in order to enable a better integration of functional and technical processes and to provide quality improvements and measurements within business processes.

Think you’ve got what it takes?


Job Duties & Responsibilities

  • Participates in work groups/ focus groups
  • Performs analyses of various reports to compose summaries, business plans, PowerPoint presentations and/or recommendations to leadership and stakeholders
  • Performs integrated analysis of chargemasters and various financial reports and determine departmental needs.
  • Develops summaries of financial analysis and makes recommendations to leadership team.
  • Obtains and maintains knowledge of regulatory information with TCH team members
  • Ensures inclusion of regulatory changes in various analyses
  • Ensures that end-users of the processes are properly trained in the use of existing processes on an on-going basis so that processes and procedures are not forgotten.
  • Conducts training of new or updated processes and procedures and instructs end-users on new uses of forms and fields in the system so that all users are constantly kept up-to-date on any changes to the system.
  • Surveys end-users on a regular basis to address users questions, concerns or suggestions about existing processes or improvements. Establish a network to improve processes. Network outside department.
  • Conducts an on-going audit of processes, reports and analyses as well as documentation so that the information is readily available and correct when needed. Evaluates trending data and recommends changes.
  • Develops system in collaboration with other leadership team members for maintaining appropriate consultative approach between departments.
  • Collaborates with leadership team to identify, facilitate, and participate in performance improvement program to enhance patient care delivery systems and/or reporting mechanisms.

Skills & Requirements

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption.
  • Bachelor's Degree Required
  • 3 years experience with business operations, systems development or business related analytic and communications experience.

**SQL experience and Cactus knowledge highly desired and preferred**

**This position has been approved for full remote work for in and out of state candidates. Certain exclusions may apply**

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