Quantix
Job Location :
New York,NY, USA
Posted on :
2025-01-12T07:44:25Z
Job Description :
Title: Sr. Healthcare Payer Business AnalystLocation: 100% Remote AnywhereType: Direct hireSalary: Up to $145,000, depending on experienceSponsorship: No About the RoleWe are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new product & services. The ideal candidate will have worked in-depth for top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider Portals/Service, Clinical & Care management, Funding & Billing, Reporting). This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.Note: Please avoid EMR/EHR resumes unless they have the below.Please think through sending Medicaid/Medicare resumes unless they have the below or perhaps did it through Blue Cross or one of the BUCAs. Reminder, we need a client facing Sr. BA with 6 years of Commercial or TPA experience, Full time. Essential Qualifications:
Client Facing experience (not backend), ability to lead Requirements sessions in the healthcare payer industry. Minimum 2-3 years of experience as a business analyst in healthcare payer industry - Commerical/TPA is a must Major program and project involvement Expertise and experience in preparing High Level requirements, Use Cases, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix. Proven ability to map business process and workflows, conducting gap analysis and documenting requirements, ensuring requirements are developed and tested. Excellent verbal/written communication skills; comfortable leading business and technology teams within the organization to translate business issues & requirements into technical solutions. Healthcare Insurance Payer in one of more of the following areas: Claims Administration, Enrollment & Eligibility, Benefit Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service.
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