Healthcare Business Analyst (MUST HAVE - Health Insurance, Payer, EDI, Enrollment, Claim & Adjudication) - Fully Remote & W2 (EST/CST Candidates ONLY)

Healthcare Business Analyst (MUST HAve - Health Insurance, Payer, EDI, Enrollment Claim & Adjudication)

Seeking a Healthcare focused Business Analyst who will have the responsibility to ensure that the business's need for changes to processes, policies and / or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user.

The incumbent assists in the gathering and synthesizing of business requirements for low complexity software, systems, processes and / or services and translates them into specifications ensuring the business objectives are met.

As the functional expert, the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow.

ESSENTIAL FUNCTIONS :

25% Interpret business needs and issues by gathering, eliciting, analyzing, documenting and validating the Business area-s user and technical (functional / non-functional) requirements.

Under the direction of a Lead or Senior Business Analyst, participates in the creation of requirements documentation. Collaborates in the creation of project plans to define, organize and schedule requirements management and development activities.

Participates in requirements analysis and verification sessions.

Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements.

25% Responsible for the overall success of user acceptance testing, including documentation, verification and release. Implements practices and procedures for end user test plans.

Identifies and documents gaps in requirement adherence or system deficiencies / defects and coordinates appropriate action through issue resolution.

Providing guidance and training to application end users.

20% Identifies, documents and troubleshoots problems in systems, software and processes. Collaborate with appropriate stakeholders to monitor, report and resolve issues.

Participates in the development of solutions and workarounds that solve low complexity technical, system and / or business issues.

20% Reviews, analyzes and creates detailed documentation of business systems and user needs. Responsible for the written documentation of requirements in a clear and well organized manner.

Develops and / or collaborates in key project and requirement deliverables for projects of low complexity

10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation.

Prioritize and manage new work requests.

This position is 100% remote and is a six month PLUS contract opportunity.

Required Skills

• Education Level : Bachelor's Degree - In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
• Three (3)+ years of Healthcare Business Analyst related experience
• Must haves : Healthcare Industry Exp (payor), MS Excel, EDI file layouts, Edifecs, Enrollment
• Demonstrated ability to deliver high quality, effective deliverables on-time and be a valuable contributor to the development of cost-effective solutions.
• Strong time-management and organizational skill
• Excellent communication skills both written and verbal to organize stakeholder meetings
1 day ago