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Form of workJob Description
Title: Sr. Healthcare Payer Business Analyst
Location: 100% Remote Anywhere
Type: Direct hire
Job Description: We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define, and manage requirements to launch new products and services. The ideal candidate will have worked in-depth for top payers across one or more domains (Enrollment and Benefit Administration, Claims processing and Reimbursements, Member and Provider Portals/Service, Clinical and Care Management, Funding and Billing, and Reporting). This person must possess a blend of business and technical savvy; and strong communication skills to collaborate across internal and external stakeholders.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
Minimum Skills:
Location: 100% Remote Anywhere
Type: Direct hire
Job Description: We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define, and manage requirements to launch new products and services. The ideal candidate will have worked in-depth for top payers across one or more domains (Enrollment and Benefit Administration, Claims processing and Reimbursements, Member and Provider Portals/Service, Clinical and Care Management, Funding and Billing, and Reporting). This person must possess a blend of business and technical savvy; and strong communication skills to collaborate across internal and external stakeholders.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
Minimum Skills:
- Client Facing acumen, and ability to lead Requirements sessions in the healthcare payer industry.
- Minimum 6-7 years of experience as a Business Analyst in the healthcare payer industry.
- Healthcare Insurance Payer in one or more of the following areas: Claims Administration, Enrollment and Eligibility, Benefit Administration, Contribution Accounting, Billing and Payment, Member, Provider, and Employer facing portal/service.
- Expertise and experience in preparing High-Level requirements, use cases, Business Requirement Documents, Functional specifications, Test strategies and cases, and Traceability matrix.
- Proven ability to map business process and workflows, conducting gap analysis and documenting 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 & and requirements into technical solutions.
- Ability to analyze problems and resolve issues through resolution quickly and methodically.
- Proficient with Word, Excel, and PowerPoint, Visio.
- Knowledge of BA/ MS project Tools, JIRA, MS Project
- BA Certifications and or PMP
