Jobs via Dice ยท 1 day ago
Healthcare Business Analyst
United States
Full-time
Remote
Senior Level
5+ years expDice is the leading career destination for tech experts at every stage of their careers. Our client, Smartwork IT Services, is seeking a Healthcare Business Analyst with experience in the healthcare domain. The role involves working with healthcare systems, preparing requirements, and ensuring effective communication between business and technology teams.
Computer Software
Responsibilities
Required Skills: Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, TPA, Payers, Clinical, Billing & Payment, Member, Provider and Employer facing portal/service
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
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
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
Jobs via Dice
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0-1 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase