Expert Claims Review Business Analyst
Core
Enable high quality business analytics solutions in an Agile/Kanban context to deliver valued business outcomes and informed decisions for Zelis' key stakeholders in the healthcare financial experience domain.
Role type
Senior Business Analyst (Healthcare Financials)
Builds
User stories, workflows, approval processes, validation rules, and documentation for healthcare claims and reimbursement systems.
Domain
Healthcare / Health Insurance / Claims Processing
Deliverable
product features
Required skills
Requirements management, Agile/Kanban practices, Gap analysis, Business process improvement, SQL, Critical thinking, Stakeholder communication
Preferred skills
Healthcare industry experience, Payment Integrity solutions knowledge, Payer reimbursement policies knowledge, SAFe POPM/Agilist certifications
Technologies
SQL, Agile/Kanban tools
Responsibilities
Facilitate Scrum ceremonies (Stand-Ups, Planning, Reviews), Elicit and document business requirements, Create and maintain workflows and validation rules, Perform gap analysis for system integrations, Collaborate on product backlog prioritization, Assist in QA and UAT.
Seniority
Mid-Senior, hands-on IC