Business Analyst II
Core
Translates business needs into application software requirements, specifically focusing on Electronic Data Interchange (EDI) and health plan eligibility processing.
Role type
Business Analyst (EDI & Health Data)
Builds
Application software requirements, eligibility exchange frameworks, and data processing files (834, COB, group files) for health plans.
Domain
Healthcare / Health Insurance / EDI
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Business analysis, EDI (834, eligibility, COB, group files), requirements translation, system design liaison, stakeholder communication, test case review, documentation (business rules, process flows, technical specs), end-to-end testing.
Preferred skills
Systems capabilities knowledge, self-starter mindset, core platforms understanding, Excel (Beginner to Intermediate).
Technologies
EDI, 834, COB, Excel
Responsibilities
Analyze business needs to determine optimal solutions; Determine specific business application software requirements; Work with programming staff on system design and testing; Act as liaison with software users; Facilitate design of eligibility exchange frameworks; Facilitate discussions with plans and stakeholders to clarify requirements and review test cases.
Seniority
Mid-level IC (3+ years experience)