Zaddy Solutions ยท 1 week ago
Senior Business Analyst
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Insider Connection @Zaddy Solutions
Responsibilities
Healthcare Operations experience is a plus only, must have TPA/Payer besides this
PBM experience is a plus only, must have TPA/Payer besides this
Work with business and solution owners to define and document requirements for products and services
Write user stories, acceptance criteria, feature description decks, and process flows
Manage traceability and UAT
Maintain a solid knowledge base of functional capabilities within the assigned product portfolio
Use agile methods to analyze, define, and document requirements
Manage traceability and drive consensus on scope, design, and implementation decisions
Provide analysis and impact to users and business for changes to current functionalities
Develop and integrate requirement management to the delivery approach and schedule
Responsible for product quality, project timeliness, and customer satisfaction
Participate in the presentation of information to customers and internal business or IT teams
Create business/product/third party vendor specifications for product integration and implementation
Qualification
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Required
Bachelor's degree or equivalent experience.
Client Facing skills, ability to lead requirements sessions in the healthcare payer industry.
Minimum 6-7 years of experience as a business analyst in healthcare payer industry (Commercial/TPA).
Expertise and experience in preparing High Level requirements, Use Cases, Business Requirement Documents, Functional specifications, Test strategy & 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 & requirements into technical solutions.
Healthcare Insurance Payer in one of more of the following areas: Claims Administration, Enrollment & Eligibility, Benefit Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service.
Ability to analyze problems and resolve issues through resolution quickly and methodically.
Proficient with Word, Excel, and PowerPoint, Visio.
Knowledge of BA/MS Office 365 tools, JIRA, MS Project
Self-motivated and detail oriented.
Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.
Preferred
Healthcare Operations experience is a plus only, must have TPA/Payer besides this
PBM experience is a plus only, must have TPA/Payer besides this
Within the last 5 years must have had Payer Implementation experience with large healthcare clients in a commercial/TPA setting
Client facing skills on large programs