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