Senior Business Analyst (CLAIMS PAYMENT)

Title: Senior Business Analyst
Location: Remote
Duration: 6 Months Contract
Job Summary:
Senior Business Analyst is responsible for analyzing business problems, identify gaps, and develop technical solutions involving complex information systems with no supervision for Provider Payments that maintains various accounting information. This role involves managing requirement scope, determining appropriate methods on potential assignments, and serving as a bridge between information technology teams and the client through all project phases; provide day-to-day direction on State program activities.
Responsibilities:

• Works with customers on presenting technical solutions for complex business functionalities.
• Possesses unwavering commitment to customer service and operational excellence.
• Provides customer support through leading client demos and presentations.
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases.
• Creates and modifies Business Process Models.
• Understands the overall system architecture and cross-functional integration.
• Demonstrates in-depth knowledge of business analysis relates to Provider Enrollment, Maintenance and Screening to ensure high quality.
• Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers.
• Possesses in-depth knowledge and is well-versed in multiple functions or capabilities.
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications.
• Analyzes user requirements and client business needs, leveraging expert opinion and expertise.
• Acts as the requirements subject matter expert and supports requirements change management.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Required Qualifications

• Bachelor's degree with 7+ years of business analysis experience or master s degree with 5+ years of business analysis experience.
• Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
• Minimum 3 years of Lead Business Analyst experience on large complex projects.
• Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
• Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
• Excellent knowledge of generating Remittance Advices (835X12s).
• Excellent Business Analysis Process (SDLC, documentation procedures) experience.
• Excellent customer relation skills including presentation and meeting facilitation.
• Experience facilitating and running customer facing requirements and design sessions

Preferred Qualifications

• Strong knowledge and proficiency in SQL, plus high-level of technical and database knowledge