• Job Description

  Req#: 62069
  Enterprise Business Analyst - Product & Technology
  
  Location: Remote
  
  Experience: 10+ Years
  
  Roles and Responsibilities:
  
  Mandatory Skills : Healthcare Payer, Billing, Claims, Accounting, TPA - Third party Application
  
  About this Role:
  
  We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain
  
  with Multi-employer/Benefit Administration of self-funded client experience. The ideal candidate
  
  will excel in client interactions, and can collaborate effectively with stakeholders to analyze, define
  
  and manage requirements for client or product. He / She will have worked in-depth in healthcare
  
  payer domain in Health Plan Administration (Benefits & Claims Administration, Vendor integration,
  
  Portals) or Multi-employer/Benefit Administration space. Project experience involving data
  
  conversation, data migration, data governance and framework is a plus. This person must possess a
  
  blend of business and technical savvy; strong communication skills to collaborate across internal
  
  and external stakeholders.
  
  Job Responsibilities:
  
  • Work with business and solution delivery owners to define and document requirements for the assigned products and services, as well as write user stories, acceptance criteria,
  • feature description decks, process flows, manage traceability and UAT.
  • Maintain a solid knowledge base of the functional and system capabilities of the
  
  various areas and products within the assigned product portfolio.
  
  • Use applicable requirement methodology to analyze, define and document
  
  requirements and manage traceability. Work with stakeholders and product teams to drive consensus on scope, design and implementation decisions.
  
  • Provide analysis and impact to user and business for changes to current functionalities and apply problem solving skills to meet business needs.
  • Develop and integrate requirement management to the delivery approach and schedule; also be responsible for product quality, project timeliness, and customer satisfaction.
  • Participate in the presentation of information to customer and internal business and or IT teams.
  • Create business / product / third party vendor specifications for product integration and implementation.
  
  
  Essential Qualifications & Skills:
  • Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus.
  • Minimum 5 years of experience as a business analyst in healthcare payer/TPA
  
  • in onboarding new self-funded clients or implement product in Multi-employer Trust or
  • Health Plan Administration
  • Expertise and experience in preparing High Level requirements, Use Cases, Data
  • governance, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.
  
  • Experience in programs that focus on system integrations with 3rd party vendors is a must.
  •
  
  • Flexibility to adapt quickly to changing requirements and priorities. Proven ability to map business process and workflows, conduct gap analysis and document
  • requirements, ensuring requirements are developed and tested.
  • Excellent verbal/written communication skills; comfortable leading business and
  • technology teams within the organization to translate business issues & requirements into technical solutions.
  • Healthcare Insurance Payer experience in one of the following areas covering business & technology: Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims
  • Administration, Contribution Accounting, Clinical, Billing & Payment, Member, Provider and Employer facing portal/service
  • Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues
  • through resolution quickly and methodically.
  • Skilled at persuasive written and verbal communications that drive action or set strategic direction.
  • Experience in healthcare analytics, business analysis, or a similar role.
  • Strong understanding of healthcare systems, policies, and regulatory requirements.
  • Proficient with Word, Excel, PowerPoint and Visio MS Office, Jira.
  • Self-motivated and detail-oriented
  
  Preferred Qualifications:
  
  • Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.
  • Effective time management and the ability to handle multiple priorities.
  • Passion for continuous learning and staying updated with the latest Health care scenarios. Client-focused with a commitment to delivering high-quality solutions.

• About the company

  The best remote jobs for you

Notice