Description

You will align IT solutions with business objectives by acting as the liaison between technical and non-technical teams.

This role is remote.

Responsibilities

• Analyze and document client business requirements and processes, building conceptual data and process models.
• Design and recommend business processes to improve activities integrated with IT solutions.
• Create test scenarios and develop test plans to validate application alignment with client requirements.
• Facilitate client meetings to gather requirements, document findings, and resolve clarification issues.
• Coordinate business analysis tasks on IT projects and participate in technical reviews.

Required Skills

• Six or more years of experience in business analysis, specifically within claims processing or healthcare claims systems.
• Proven experience in business process re-engineering within claims systems.
• Strong understanding of claims types, including Fee-for-Service (FFS) claims, and familiarity with claims forms (e.g., 837).
• Experience modifying claims systems, including Total Payment Liability (TPL) matching logic.
• Ability to configure systems to support business processes and manage claims processing enhancements.
• Proficiency in business solutions software: Jira, Confluence, and MS Office Suite.
• Bachelor's degree in Business Administration, Information Systems, or a related field.

Preferred Skills

• Experience with RPA, Scrum, Kanban, and Agile methodologies.

Key Skills

Education

Bachelor's degree