Healthcare Business System Analyst - Remote (Anywhere in the US)

Remote Full-time
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 :
Ā• 12+ years of experience as a Business Analyst in the healthcare payer domain
Ā• Fluency in Spanish language.
Ā• Analyze and document business processes, workflows, and requirements.
Ā• Working SQL knowledge.
Ā• Deep experience and understanding of Healthcare Payer and Claims.
Ā• Identify AI use cases.
Ā• Experience writing user stories with proper acceptance criteria.
Ā• Develop and maintain comprehensive documentation, including business requirements, process flows, and use cases.
Ā• Facilitate meetings and workshops with cross-functional teams to gather and validate requirements.
Ā• Ensure compliance with healthcare regulations and standards (e.g., HIPAA, ACA).
Ā• Provide insights and recommendations based on data analysis to support decision-making. Lead/mentor junior business analysts and team members if needed.
Ā• Stay current with industry trends and best practices in healthcare and payer systems.

Educational Qualifications: -
Ā• Bachelor's degree, preferably in Computer Science or similar technical discipline .

Mandatory Skills/Experience :-
Ā• Expertise in core SQL
Ā• Experience with HRP
Ā• Business Systems Analysis background
Ā• Experience working in the Payer domain
Ā• Knowledge of Healthcare Claims transactions

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