Role Summary
Ability to steer requirements, seek buy-in, taking perspectives of multiple stakeholders into account to come to common ground and drive consensus on requirements. Ability to visualize and create solutions that meet business ask, create initial prototypesproof of concept. Ability to work with high-level articulation of requirements to drive detailed solutioning, for different types of engagement (be it proactive pitch to payer business teams, align business goals with IT side of the house, lead internal IT teams, track requirements in product backlog, specify user stories, acceptancefunctional testing, evangelizing solutions, seeking stakeholder buy-ins. Hands-on healthcare payer experience for 10+ years Healthcare claims knowledge, hands-on experience with claims engines, product & benefits, claim processing. Broad-based understanding of various payer functions such as sales and marketing, healthcare product management, membership, providers, prior authorizations and utilization management, claims, program integrity etc. Aware of lines of business such as Medicare, Medicaid, CMS guidelines, overall healthcare industry trends.
Past Product Owner experience to manage product backlog, write
user storiesuse cases as per expectation, plan for program
incrementssprints.
Strong communication and influencing skills
Ability to drive teams, culminating efforts towards a show-case able
solution.
Strong Analytical skills to write SMART requirements (Specific,
Measurable, Accurate, Realistic, can be achieved in Time bound
manner).
SN Responsibility of Expectations from the Role
1 Ability to articulate point of view (POV) on variety of topics of relevance to clients business, awareness of regulatory changes, industry drivers to develop contextual POVs, articles, blogs
2 Collaborates with the data scientists, AI Architects, technical team to ensure rapid solution POC development
3 Ability to write detailed use cases on requirements with minimal inputsdependency
4 Support account teams on driving innovation by providing relevant examples of technology application based on customer s needs, their AI maturity, current ask, audience role etc.
5 Stays abreast with industry specific trends e.g., interoperability (FHIR, HL7, EDI), cost of care imperatives, value-based care etc. Continually learns business model changes and factors affecting industry.
6 Ability to apply new technology e.g., AI, Generative AI to real business problems
7 Deep understanding of healthcare ecosystem, value chains, value exchange between entities
8 Ability to quickly grasp domain adjacencies e.g., pharmacy dispensing business, PBM business etc.
9 Ability to identify inventive aspect of solutions and file patents, copyrights, trademarks
Role Descriptions: Business Analsyst Salesforce and Healthcare domain experienceExperience 10 to 15 yearsRoles Responsibilities Engage with business users and stakeholders to gather document and validate functional and non-functional requirements.Translate business requirements into detailed user stories process flows and acceptance criteria.Serve as a liaison between business and technical teams to ensure alignment of solutions.Conduct requirement workshops user interviews and process mapping sessions.Collaborate with Salesforce architects developers and testers throughout the delivery lifecycle.Lead UAT planning execution and training sessions for end users.Support backlog grooming sprint planning and agile ceremonies as part of an Agile team.Recommend Salesforce best practices and standard features to meet business needs efficiently.Track and report progress issues and risks to stakeholders and project managers.
Essential Skills: Business Analsyst Salesforce and Healthcare domain experienceExperience 10 to 15 yearsRoles Responsibilities Engage with business users and stakeholders to gather document and validate functional and non-functional requirements.Translate business requirements into detailed user stories process flows and acceptance criteria.Serve as a liaison between business and technical teams to ensure alignment of solutions.Conduct requirement workshops user interviews and process mapping sessions.Collaborate with Salesforce architects developers and testers throughout the delivery lifecycle.Lead UAT planning execution and training sessions for end users.Support backlog grooming sprint planning and agile ceremonies as part of an Agile team.Recommend Salesforce best practices and standard features to meet business needs efficiently.Track and report progress issues and risks to stakeholders and project managers.
Desirable Skills: Healthcare domain
Keyword: UHC Set 2 - EP Hiring
Skills: Business AnalysisHealthcare : PharmacyAI AgentsHealthcare Domain
Experience Required: 8-10
Never miss an opportunity! Create an alert based on the job you applied for.