Sr. Business Analyst
Core
Capture business requirements for health plan core admin functions (Claims, Enrollment, Provider, Payment) and implement HealthEdge's core-admin ecosystem.
Role type
Senior Business Systems Analyst (Healthcare Payer)
Builds
HealthEdge's core-admin ecosystem for health insurance payers
Domain
Health insurance / Healthcare Payer
Required skills
Healthcare payer domain knowledge (Claims, Enrollment, Provider, Payment), EDI transaction mapping (837, 834, 835, 270/271, 276/277, 278), Requirement elicitation, Functional requirement documentation, Workflow diagramming, SQL, XSDs
Preferred skills
HealthEdge applications (HealthRules Payer, GuidingCare), Agile/Scrum methodologies
Technologies
HealthEdge core-admin ecosystem, EDI guides, SQL, XSDs
Responsibilities
Lead business requirement conversations with customers and internal teams; Develop business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems; Create solutions for current business processes using HealthEdge's core-admin ecosystem; Negotiate with clients to develop applicable processes; Collaborate with offshore business analysts to elaborate user stories; Conduct requirement walkthroughs with stakeholders; Collaborate with development and QA teams to ensure project objectives are met; Contribute to sprint planning, retrospectives, and go-live evaluations; Conduct MVP demos for customers.
Seniority
Senior, hands-on IC
