Works with customers on presenting technical solutions for complex business functionalities.
• Possesses unwavering commitment to customer service and operational excellence.
• Provides customer support through leading client demos and presentations.
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases.
• Creates and modifies Business Process Models.
• Understands the overall system architecture and cross-functional integration.
• Demonstrates in-depth knowledge of business analysis relates to Provider Enrollment, Maintenance and Screening to ensure high quality.
• Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers.
• Possesses in-depth knowledge and is well-versed in multiple functions or capabilities.
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications.
• Analyzes user requirements and client business needs, leveraging expert opinion and expertise.
• Acts as the requirements subject matter expert and supports requirements change management.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Requirements
- Bachelor's’ degree with 7+ years of business analysis experience or master’s degree with 5+ years of business analysis experience.
- Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
- Minimum 3 years of Lead Business Analyst experience on large complex projects.
- Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
- Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
- Excellent knowledge of generating Remittance Advices (835X12s).
- Excellent Business Analysis Process (SDLC, documentation procedures) experience.
- Excellent customer relation skills including presentation and meeting facilitation.
- Experience facilitating and running customer facing requirements and design sessions
