Cotiviti · 7 hours ago
Sr Business Analyst
Cotiviti is a company focused on providing healthcare analytics and solutions, and they are seeking a Sr. Business Analyst to operate as a spokesperson for clients’ business needs. The role involves analyzing business problems, gathering requirements, and ensuring the quality of computer applications throughout the development life cycle.
Information Technology & Services
Responsibilities
Operate as a spokesperson for clients’ business needs to determine appropriate computer-related solutions to business problems
The Sr. Business Analyst provides analysis, definition and direction to computer-related development and maintenance activities, and assists with ensuring that correct business functionality, requirements, and industry standards are addressed within the computer applications
Conduct weekly calls with clients to review open issues and prioritize issues
Perform functional analysis of issues reported by clients, gather requirements, identify gaps, and coordinate with internal teams to address the gaps
Analyze CMS and State specific EDI companion guides to define data and rules requirements
Write custom business rules to meet client specific requirements in the solution and rules for data mapping and transformation
Perform analysis of customer data using information available in application and SQL queries, identify any issues, and promptly report to customers for timely resolution to achieve better acceptance rates
Write proof of concept reports using a variety of reporting methods and develop sample data for use in demonstrations
Monitor and perform basic technical analysis of the solution to help identify any system issues and involve appropriate internal teams to resolve issues in a timely manner
Ensure quality of a complete product by being involved from inception through release phases of the development life cycle
Serve as domain and functional expert for customer and internal teams
Must be willing to travel as needed – approximately 80%
No international travel
Qualification
Required
Bachelor's degree in Computer Science, Business Administration, or related field
A foreign degree equivalent to a U.S. Bachelor's degree in Computer Science, Business Administration, or related field is acceptable
Five (5) years of experience in any occupation in which required skills were gained
5 years of progressive, post-baccalaureate experience in business/system analysis in the healthcare industry, including: 5 years of experience interpreting requirements and developing functional specifications
5 years of experience analyzing and solving business/systems problems in the healthcare or IT industry
5 years of experience working with Healthcare EDI transactions including HL7, HIPAA, and NCPDP
5 years of experience testing and test planning of large enterprise systems
5 years of experience leading/managing teams
2 years of experience in business process analysis, mapping projects related to ICD-10 migration
2 years of experience applying knowledge of functional areas impacted by ICD-10 migration and defining custom solutions for ICD-10 clients
Experience may be gained concurrently
Any suitable combination of education, training, or experience is acceptable
Must be willing to travel as needed – approximately 80%
No international travel
Preferred
Employer will also accept a Master's degree in Computer Science, Business Administration, or related field
Master's degree in Computer Science, Business Administration, or related field is acceptable
Three (3) years of experience in any occupation in which required skills were gained
3 years of experience in business/system analysis in the healthcare industry, including: 3 years of experience interpreting requirements and developing functional specifications
3 years of experience analyzing and solving business/systems problems in the healthcare or IT industry
3 years of experience working with Healthcare EDI transactions including HL7, HIPAA, and NCPDP
3 years of experience testing and test planning of large enterprise systems
3 years of experience leading/managing teams
1 year of experience in business process analysis, mapping projects related to ICD-10 migration
1 year of experience applying knowledge of functional areas impacted by ICD-10 migration and defining custom solutions for ICD-10 clients
Experience may be gained concurrently
Any suitable combination of education, training, or experience is acceptable
Benefits
Medical
Dental
Vision
Disability
Life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States.
H1B Sponsorship
Cotiviti has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (165)
2024 (118)
2023 (90)
2022 (102)
2021 (72)
2020 (67)
Funding
Current Stage
Late StageLeadership Team
Recent News
2024-04-07
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