Healthcare Enterprise Business Analyst

This is Srikanth from Reliable Software. We have an opportunity with one of our direct clients, and I'd like to share the details with you. Please review the information below and let me know if you're interested. Kindly share your updated resume if you'd like to be considered.

Job Title: Healthcare Enterprise Business Analyst - Product & Technology

Location: Westbury, NY  (Remote )

Duration: 12+ Months

Experience : 15+ Years MUST (Don’t submit less than 15 years)

Mandatory Skills : 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.

Job Description:

We are seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst/Product Specialist in the healthcare payer domain of Health Plan administration of self-funded clients 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 or Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) and Healthcare Networks space. This person must possess a blend of business (most important) and technical savvy as well as effective communication skills to collaborate with internal and external stakeholders.  This resource should have demonstrable experience in advancing products in a TPA model.

Essential Qualifications & Skills:

• 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.  BA Certifications and or PMP a plus

Educational Qualifications:

• Required - Bachelor’s degree in Computer Science, Information Technology, Computer Engineering or closely related or equivalent.
• Preferred - Master’s degree in Management Information Systems (MIS), Computer Science, Big Data or Analytics or equivalent.

Travel:

·   Open to travel based up on the nature of the engagement.

Thanks & Regards

Srikanth Donkani

 Sr. Talent Acquisition Specialist

(w):

(E):

2260 Haggerty Road, Suite 285 Northville, MI 48167

Equal Employment Opportunity

Reliable Software employment does not discriminate on the basis of race, religion, gender, sexual orientation, age or any other basis as covered by federal, state, or local law.

Employment decisions are based solely on qualifications, merit and business needs.