Enterprise Business Analyst

Role 1: Enterprise Business Analyst

Location: Remote- USA (Preferably EST Consultants)

Healthcare experience is Mandatory

Native Americans only

Experience:15+

What’s needed:

Enrolment & Eligibility,

Benefit Administration,

Vendor Integrations,

Claims Administration,

Contribution Accounting,

TPA

Payers

Clinical, Billing & Payment,

Member, Provider and

Employer facing portal/service. 

Essential Qualifications & Skills:

Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus.

Minimum 5 years of experience as a business analyst in healthcare payer/TPA in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration 

Expertise and experience in preparing High Level requirements, Use Cases, Data governance, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.

Experience in programs that focus on system integrations with 3rd party vendors is a must.

Proven ability to map business process and workflows, conduct gap analysis and document 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 experience in one of the following areas covering business & technology:

Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Clinical, 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. 

Skilled at persuasive written and verbal communications that drive action or set strategic direction.

Experience in healthcare analytics, business analysis, or a similar role.

Strong understanding of healthcare systems, policies, and regulatory requirements.

Proficient with Word, Excel, PowerPoint and Visio MS Office, Jira.

Self-motivated and detail-oriented 

Flexibility to adapt quickly to changing requirements and priorities.

Preferred Qualifications:

∙Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.

∙Effective time management and the ability to handle multiple priorities.

∙Passion for continuous learning and staying updated with the latest Health care scenarios.

∙Client-focused with a commitment to delivering high-quality solutions