Sr Business Analyst, Provider Claims (Remote)
About the position
Responsibilities
• Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis.
• Interpret customer business needs and translate them into application and operational requirements.
• Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed.
• Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements.
• Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.
• Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements.
Requirements
• Bachelor's Degree or equivalent combination of education and experience.
• 5-7 years of business analysis experience.
• 6+ years managed care experience.
• Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas.
• Ability to manage escalations independently.
• Proactive communicator.
• Detail-oriented and adaptable.
• Strong organizational and time management skills.
Nice-to-haves
• 3-5 years of formal training in Project Management.
• Experience working with complex, often highly technical teams.
• Strong claims investigation experience within managed care.
• Background working with providers and internal ops teams.
• Familiarity with Salesforce, Facets, and Excel-based reporting.
• Managed care or claims research experience.
• Strong analytical and documentation skills.
Benefits
• Competitive benefits and compensation package.
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