SWITS DIGITAL Private Limited ยท 1 day ago
Healthcare Business Analyst
United States
Contract
Remote
Senior Level
5+ years expSWITS DIGITAL Private Limited is seeking an Enterprise Business Analyst specialized in the Healthcare domain for one of their valuable clients. The role involves working closely with healthcare systems, conducting business analysis, and ensuring smooth integration of services for clients.
Information Technology & Services
Responsibilities
Enrolment & Eligibility
Benefit Administration
Vendor Integrations
Claims Administration
Contribution Accounting
TPA
Payers
Clinical, Billing & Payment
Member, Provider and Employer facing portal/service
Qualification
Required
Healthcare experience is Mandatory
Enrolment & Eligibility
Benefit Administration
Vendor Integrations
Claims Administration
Contribution Accounting
TPA
Payers
Clinical, Billing & Payment
Member, Provider and Employer facing portal/service
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
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
Flexibility to adapt quickly to changing requirements and priorities
Preferred
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
Company
SWITS DIGITAL Private Limited
At SWITS Digital Private Limited, we are driven by innovation, integrity, and a commitment to empowering businesses through technology.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase