Business Analyst (Enrollment/Eligibility)

Overview

Remote
$115,000 - $116,000
Full Time
No Travel Required

Skills

Business Analyst
Enrollment
Eligibility

Job Details

We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan Administration (Benefits & Claims Administration, Vendor integration) space. This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.

Responsibilities:
- Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet project needs.
- Critically evaluate information gathered from multiple sources; reconcile conflicts; abstract up from low-level information to a general understanding; and distinguish requests from underlying true needs.
- Break down high level information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs.
- Analyze and document client's business requirements and processes; use and promote industry standard analysis techniques, such as data flow modeling, use-case analysis, workflow analysis, business process mapping,
- Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications.
- Presenting concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards.
- Forwards functional specifications to digital team members for design and solution development.
- Work within timeline and resource constraints provided by the Project Manager.
- Partner with stakeholders on requirements prioritization, solution approach and alternatives, and manage requirements changes to ensure developed solution conforms to business needs.
- Proactively identify areas of potential business risk, on projects both within and outside of control, make recommendations related to mitigation and escalate as necessary.

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