Overview
Remote
Accepts corp to corp applications
Contract - Independent
Contract - W2
Contract - 20 day((s))
Skills
SQL
HIPAA
Business Analysis
claims
Healthcare industry
Healthcare payer
healthcare regulations
ACA
business processes
workflows
Business requirements
healthcare payer domain
core SQL
HRP
Healthcare Claims transactions
Job Details
Healthcare Business System Analyst
Remote (Anywhere in the US) Quarterly Travel to Puerto Rico for a week is required.
Contract
Fluency in Spanish language.
As a Business System Analyst, you will be a part of an Agile team to build healthcare applications and implement new features.
Responsibilities/Requirements :
- 12+ years of experience as a Business Analyst in the healthcare payer domain
- Fluency in Spanish language.
- Analyze and document business processes, workflows, and requirements.
- Working SQL knowledge.
- Deep experience and understanding of Healthcare Payer and Claims.
- Identify AI use cases.
- Experience writing user stories with proper acceptance criteria.
- Develop and maintain comprehensive documentation, including business requirements, process flows, and use cases.
- Facilitate meetings and workshops with cross-functional teams to gather and validate requirements.
- Ensure compliance with healthcare regulations and standards (e.g., HIPAA, ACA).
- Provide insights and recommendations based on data analysis to support decision-making. Lead/mentor junior business analysts and team members if needed.
- Stay current with industry trends and best practices in healthcare and payer systems.
Educational Qualifications: -
- Bachelor's degree, preferably in Computer Science or similar technical discipline .
Mandatory Skills/Experience :-
- Expertise in core SQL
- Experience with HRP
- Business Systems Analysis background
- Experience working in the Payer domain
- Knowledge of Healthcare Claims transactions
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