Healthcare Insurance Business Analyst (FinancialManagement)
Work you'll do
Provide functional expertise for Financial Management and Affordable Care Act (ACA) financial management policy related business rules.
Lead/Support SDLC activities for maintenance and enhancement of financial management functionality including reconciliation of enrollment and claims data with health exchanges and health plans, supporting EDI transactions, and supporting financial functions such as risk adjustment, enrollment aggregation, payment aggregation etc
Troubleshoot system issues, analyze data and identify resolution steps as required
Collaborates effectively in a multi team environment, coordinate with multiple 3 rd party systems and health plans, manage client expectations and prioritize activities for the teams
Liaison with business and technical teams for impact analysis, design changes and implementation of changes
Liaison with client counterparts for day to day activities
Our Health Technology team implements repeatable solutions to solve our government clients' most critical health technology related issues. We advise on, design, implement and deploy solutions focused on government health agencies "heart of the business" issues including claims management, electronic health records, health information exchanges, health analytics and health case management.
Our clients seek a fresh perspective on how to leverage reusable, interoperable and flexible solutions that will enable them to reduce costs, improve health outcomes and respond to public health crises. Professionals will use their deep health, government and technology consulting experience to strategically help solve our client's technology challenges.
3+ years of experience
Healthcare Insurance/ Health exchange ( State/ Federal) experience
Deep understanding of financial management functionality including reconciliation of enrollment and claims data from health exchanges and health plans, supporting EDI transactions and financial functions such as risk adjustment, enrollment aggregation, payment aggregation
Understanding of supporting modules such as eligibility, enrollment etc
Experience in working with health plans
Proficient in software development lifecycle methodologies ( Waterfall, Agile, Hybrid)
Strong analytical skills with demonstrated track record of solving complex systems integration problems
Health Insurance Exchange
Affordable Care Act
Agile Software Development Methodology
Software Development Life Cycle
Health plan Enrollment and Eligibility
Limited immigration sponsorship may be available.
How you'll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center.
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