Description

Lead business analysis for multi-jurisdictional Workers' Compensation claims, focusing on statutory compliance, vendor integration, and process automation.

Responsibilities

• Define business and functional requirements, user stories, and data rules for claims management and medical bill review solutions.
• Design business process diagrams and re-engineer IT solutions to automate and improve claim handling workflows.
• Integrate multiple third-party vendors to support complex Workers' Compensation claim operations.
• Partner with business management to conduct walkthroughs, interviews, and negotiations for requirement validation.
• Apply agile methodologies and SDLC/PMLC processes to deliver clear, concise technical deliverables.

Required Skills

• 7+ years of business analysis experience, including 3+ years specifically in Workers' Compensation claims.
• Deep understanding of statutory and compliance reporting requirements for multi-jurisdictional Workers' Comp.
• Proven experience with claims management and medical bill review platforms.
• Strong background in integrating multiple external vendors for claim handling.
• Proficiency in creating business process diagrams, data rules, and functional requirements.
• Familiarity with iterative and agile methodologies, SDLC, and PMLC processes.
• Experience interfacing with business stakeholders for requirement gathering and solution design.

Preferred Skills

• CBAP certification.

Key Skills

Education

Any Graduate