Business Analyst with Healthcare IVR | Remote USA | Contract W2
Role: Business analyst with Healthcare IVR
Location: Remote USA
Duration: Long term Contract
Experience: 10+ Years
Employment Type: C2C / W2
Job Description:
Key Responsibilities
• Analyze and document business and functional requirements for healthcare IVR use cases (member and provider)
• Partner with business stakeholders to define call flows, decision trees, prompts, menus, and transfer logic
• Translate business needs into BRDs, FRDs, user stories, and acceptance criteria
• Work closely with IVR platforms (e.g., NICE CXone, Avaya) to support:
• Member authentication and validation
• Coverage, claims, benefits, eligibility, referrals, and authorizations
• Collaborate with technical teams on API integrations (Member Validate, Claims, Coverage, Eligibility, etc.)
• Support test planning and validation, including reviewing test cases and assisting with defect triage
• Participate in UAT, shakeout testing, and go-live readiness
• Ensure requirements align with HIPAA and healthcare compliance standards
• Act as a liaison between business, QA, and vendor teams to ensure clarity and alignment
Required Skills & Experience
• 10+ years of Business Analyst experience
• Strong healthcare domain experience (payer or provider)
• Hands-on experience with IVR / Contact Center solutions
• Experience documenting end-to-end call flows and business rules
• Understanding of REST APIs, service integrations, and downstream dependencies
• Experience working in Agile / SAFe environments
• Strong communication skills across business and technical stakeholders
About Next Gen Software Solutions LLC:
Next Gen Software Solutions is a trusted provider of IT Staffing and consulting services dedicated to empowering businesses with cutting-edge technology solutions and exceptional talent. We specialize in delivering tailored IT consulting services, innovative software solutions, and connecting businesses with highly skilled IT professionals. Founded and led by a dedicated U.S. Army solider, Next Gen Software Solutions is deeply rooted in the core values of integrity, discipline, commitment, and experience-principles that guide every aspect of our operations.
Equal Employment Opportunity Statement:
Next Gen Software Solutions LLC is an Equal Opportunity Employer. We are committed to fostering an inclusive and diverse workplace where all employees and applicants are treated respect and dignity. We do not discriminate based on race, colour, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, genetic information, veteran status, or any other legally protected characteristic under applicable federal, state, or local laws
About Next Gen Software Solutions LLC:
Next Gen Software Solutions is a trusted provider of IT staffing and consulting services dedicated to empowering businesses with cutting-edge technology solutions and exceptional talent. We specialize in delivering tailored IT consulting services, innovative software solutions, and connecting businesses with highly skilled IT professionals. Founded and led by a dedicated U.S. Army soldier, Next Gen Software Solutions is deeply rooted in the core values of integrity, discipline, commitment, and excellence—principles that guide every aspect of our operations.
Apply Now
Apply Now
Location: Remote USA
Duration: Long term Contract
Experience: 10+ Years
Employment Type: C2C / W2
Job Description:
Key Responsibilities
• Analyze and document business and functional requirements for healthcare IVR use cases (member and provider)
• Partner with business stakeholders to define call flows, decision trees, prompts, menus, and transfer logic
• Translate business needs into BRDs, FRDs, user stories, and acceptance criteria
• Work closely with IVR platforms (e.g., NICE CXone, Avaya) to support:
• Member authentication and validation
• Coverage, claims, benefits, eligibility, referrals, and authorizations
• Collaborate with technical teams on API integrations (Member Validate, Claims, Coverage, Eligibility, etc.)
• Support test planning and validation, including reviewing test cases and assisting with defect triage
• Participate in UAT, shakeout testing, and go-live readiness
• Ensure requirements align with HIPAA and healthcare compliance standards
• Act as a liaison between business, QA, and vendor teams to ensure clarity and alignment
Required Skills & Experience
• 10+ years of Business Analyst experience
• Strong healthcare domain experience (payer or provider)
• Hands-on experience with IVR / Contact Center solutions
• Experience documenting end-to-end call flows and business rules
• Understanding of REST APIs, service integrations, and downstream dependencies
• Experience working in Agile / SAFe environments
• Strong communication skills across business and technical stakeholders
About Next Gen Software Solutions LLC:
Next Gen Software Solutions is a trusted provider of IT Staffing and consulting services dedicated to empowering businesses with cutting-edge technology solutions and exceptional talent. We specialize in delivering tailored IT consulting services, innovative software solutions, and connecting businesses with highly skilled IT professionals. Founded and led by a dedicated U.S. Army solider, Next Gen Software Solutions is deeply rooted in the core values of integrity, discipline, commitment, and experience-principles that guide every aspect of our operations.
Equal Employment Opportunity Statement:
Next Gen Software Solutions LLC is an Equal Opportunity Employer. We are committed to fostering an inclusive and diverse workplace where all employees and applicants are treated respect and dignity. We do not discriminate based on race, colour, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, genetic information, veteran status, or any other legally protected characteristic under applicable federal, state, or local laws
About Next Gen Software Solutions LLC:
Next Gen Software Solutions is a trusted provider of IT staffing and consulting services dedicated to empowering businesses with cutting-edge technology solutions and exceptional talent. We specialize in delivering tailored IT consulting services, innovative software solutions, and connecting businesses with highly skilled IT professionals. Founded and led by a dedicated U.S. Army soldier, Next Gen Software Solutions is deeply rooted in the core values of integrity, discipline, commitment, and excellence—principles that guide every aspect of our operations.
Apply Now
Apply Now