[Hiring] Business System Analyst - Healthcare @Jobgether
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
This role involves transforming healthcare administration by effectively capturing business requirements to support health plan operations.
ā¢ Lead business requirement conversations with customers and internal teams.
ā¢ Manage end-to-end requirements involving all stakeholders.
ā¢ Develop business and functional requirements for Claims, Enrollment, Provider, Authorization, and Payment systems.
ā¢ Create solutions to improve current business processes using core-admin ecosystem.
ā¢ Negotiate with clients to develop applicable processes.
Qualifications
ā¢ Bachelor's degree or higher in a business or technical field.
ā¢ 7+ years of relevant work experience in business analysis.
ā¢ Knowledge of Healthcare insurance domain (Medicare, Medicaid, etc.).
ā¢ Experience with mapping EDI healthcare transactions (837, 834, 835, etc.).
ā¢ Ability to translate business requirements into technical requirements in EDI.
ā¢ Experience documenting requirements or user stories for technical teams.
ā¢ Experience in onshore/offshore model is essential.
ā¢ Familiarity with HealthEdge applications is a plus.
ā¢ Understanding of SQL and XSDs is advantageous.
ā¢ Proficient in Agile tools and methodologies.
Benefits
ā¢ Accrue up to 16 days of paid vacation per year.
ā¢ Receive 6 days of paid sick leave each year.
ā¢ Enjoy 10 paid holidays annually.
ā¢ Eligible for paid bereavement leave.
ā¢ Participate in a 401(k) Retirement Plan with employer matching.
ā¢ Eligible for medical, dental, and vision insurance.
ā¢ Receive Company-paid life, disability, and accidental death benefits.
ā¢ Ability to purchase additional short-term disability benefits.
ā¢ Potential for quarterly incentive bonuses depending on the role.
Apply Now
Apply Now
Role Description
This role involves transforming healthcare administration by effectively capturing business requirements to support health plan operations.
ā¢ Lead business requirement conversations with customers and internal teams.
ā¢ Manage end-to-end requirements involving all stakeholders.
ā¢ Develop business and functional requirements for Claims, Enrollment, Provider, Authorization, and Payment systems.
ā¢ Create solutions to improve current business processes using core-admin ecosystem.
ā¢ Negotiate with clients to develop applicable processes.
Qualifications
ā¢ Bachelor's degree or higher in a business or technical field.
ā¢ 7+ years of relevant work experience in business analysis.
ā¢ Knowledge of Healthcare insurance domain (Medicare, Medicaid, etc.).
ā¢ Experience with mapping EDI healthcare transactions (837, 834, 835, etc.).
ā¢ Ability to translate business requirements into technical requirements in EDI.
ā¢ Experience documenting requirements or user stories for technical teams.
ā¢ Experience in onshore/offshore model is essential.
ā¢ Familiarity with HealthEdge applications is a plus.
ā¢ Understanding of SQL and XSDs is advantageous.
ā¢ Proficient in Agile tools and methodologies.
Benefits
ā¢ Accrue up to 16 days of paid vacation per year.
ā¢ Receive 6 days of paid sick leave each year.
ā¢ Enjoy 10 paid holidays annually.
ā¢ Eligible for paid bereavement leave.
ā¢ Participate in a 401(k) Retirement Plan with employer matching.
ā¢ Eligible for medical, dental, and vision insurance.
ā¢ Receive Company-paid life, disability, and accidental death benefits.
ā¢ Ability to purchase additional short-term disability benefits.
ā¢ Potential for quarterly incentive bonuses depending on the role.
Apply Now
Apply Now