Enterprise Business Analyst

Job Description

Enterprise Business Analyst

Work Location: Remote

Year of Exp: 12+

Visa: Any Visa is fine. (Need to have 8 Months Validity minimum)

(Candidate need to fill in the below mention Questionaries)

About this Role:

We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer/Benefit Administration of self-funded client who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product.

The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer/Benefit Administration (Hours & Eligibility mgmt., Contribution Acctg) or Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) space.

This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.

Job Responsibilities:

• You will work with business and solution delivery owners to define and document requirements for the assigned products and services, as well as write user stories, acceptance criteria, feature description decks, process flows, manage traceability and UAT.
• You will maintain a solid knowledge base of the functional and system capabilities of the various areas and products within the assigned product portfolio.
• You will use applicable requirement methodology to analyze, define and document requirements and manage traceability.
• You will work with stakeholders and product teams to drive consensus on scope, design and implementation decisions.
• Provides analysis and impact to user and business for changes to current functionalities and applies problem solving skills to meet business needs.
• Develop and integrate requirement management to the delivery approach and schedule; you will also be responsible for product quality, project timeliness, and customer satisfaction.
• Participate in the presentation of information to customer and internal business and or IT teams.
• Creates business / product / third party vendor specifications for product integration and implementation.

Essential Qualifications & Skills:

• Minimum 5 years of experience as a business analyst in healthcare payer in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration
• Experience in programs that focus on system integrations with 3rd party vendors is a must.
• Expertise and experience in preparing High Level requirements, UseCases, 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 covering business & technology : Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service
• Strong analytical and problem-solving skills; Ability to analyze problems and resolve issues through resolution quickly and methodically.
• Proficient with Word, Excel, and PowerPoint, Visio
• Knowledge of BA/ MS project Tools, JIRA, MS Project, Excel, Visio
• Self-motivated and detail-oriented
• Flexibility to adapt to change and willing to learn and develop new skill sets as applicable
• Bachelor's degree or equivalent experience. BA Certifications and or PMP a plus

Kindly brief us about experience / years for the below questions. (Consultant need to give the write-up on the below questionaries)

1. Does the candidate have the experience above? If so which areas Multi-employer Trust/Benefit Administration OR Plan administration ?
2. How many years of Implementations experience has the Sr. BA completed with Third party Administrators?
3. How many years of experience as a Sr. BA?
4. How many years of external client-facing as a BA in Client Implementation?
5. How many years of experience in Benefit Administration (Hours Processing from Employers, Eligibility & Enrolment mgmt., Contribution Accounting and Member Portals/ Engagement)
6. How many years of experience in working in Plan Administration ( Claims Integration with BlueCross or CIGNA/AETNA, Claims Administration and payments, Billing & Invoicing)
7. How many years of experience in working with Vendors integration (Medical, Dental Carriers, Pharmacy, Health & Wellness, Telehealth)?
8. Do you have any experience in BlueCard PPO experience?
9. Which Requirement Methodology (Agile , SDLC or Hybrid) you have experience with