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Jobs via Dice · 1 day ago

Enterprise Business Analyst - Product & Technology

United States

Full-time

Remote

Senior Level, Lead/Staff

15+ years exp

Dice is the leading career destination for tech experts at every stage of their careers. Our client, Clover Solutions LLC, is seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst/Product Specialist in the healthcare payer domain. The role involves collaborating with stakeholders to analyze, define, and manage requirements for client or product in Health Plan administration of self-funded clients.

Computer Software

Responsibilities

Interface with senior leaders and stakeholders, both Business and Technical across different workstreams and shared services commonly found in TPA s (i.e. Eligibility, Reporting, Benefits, Finance, Information Technology, Networks, etc.)

Use your solid business understanding of Benefits and Networks to advance client needs and the Brighton business

You will 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

You will maintain a solid knowledge base of the functional and system capabilities of the various areas and products within the assigned product portfolio

You will work with stakeholders and product teams to drive consensus on scope, design and implementation decisions

Provides analysis and impact to user and business for changes to current functionalities and applies critical thinking skills to meet business needs

Develop and integrate requirements management to the delivery approach and schedule; Assist product quality with cogent requirements and processes

Participate in the presentation of information to customers and internal business and or IT teams

Creates business / product / third party vendor specifications for product integration and implementation

Qualification

TPA expertiseHealthcare payer experienceVendor integrationBusiness requirements documentationAnalytical skillsProficient with MS OfficeJIRA knowledgeCommunication skillsSelf-motivatedDetail-oriented

Required

15+ Years MUST (Don't submit less than 15 years)

Solid Expertise in TPA(Third party administration), Payer and TPA implementation

Experience in ASO and Self-funded health plans, Vendor integration Required in recent projects

Consultant should be healthcare projects only

Minimum 7 years of experience as a Senior Business Analyst or Product Specialist in healthcare payer in onboarding new self-funded clients or implement product in Health Plan Administration

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 processes and workflows, conducting gap analysis and providing requirements

Has experience developing and updating business process enhancements

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 or more of the following areas covering business & technology: Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, 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

Proficient with Word, Excel, and PowerPoint, Visio

Knowledge of BA/ MS project Tools, JIRA, MS Project, Excel, Visio

Self-motivated and detail-oriented

Flexibility to adapt to change and willing to learn and develop new skill sets as applicable

Bachelor's degree or equivalent experience