Business Analyst - Healthcare

Smithfield, Rhode Island (ON-SITE)
USC or GC only - the client will not sponsor, and we can't accept OPT or H4EAD candidates.

• This position is an entry to mid- level position responsible for the analysis, design, testing and implementation of configuration changes to support business requirements. In addition, this position is responsible for identifying areas of automation and enhancement to support and improve internal workflows. The role requires strong analytical and problem solving skills, the ability to work independently and proactively as well as demonstrated skills in providing excellent customer service.

Duties And Responsibilities
Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes
Work with key project stakeholders to formulate and communicate business requirements and scope of project
Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand
Perform all configuration changes within applicable software test environments
Responsible for configuration, interface and application testing
Develop and execute test cases and documentation to support configuration changes/updates/additions
Work with stakeholders to validate test case results
Coordinating and documenting for all configuration activity for change control and auditing
Responsible for coordination of production turnover of all configuration work upon business owner sign off
Serve as subject matter expert for root cause analysis and issue resolution
Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments
Perform business analysis duties for designated corporate projects and maintenance requests
Oversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documented
Identify potential areas of automation and aid in re-engineering the underlying business processes
Recommend and maintain standards for development of business cases and their documentation
Qualifications
Required:
Associates degree and/or years of experience and background to equate to the degree
Minimum of two years of business analysis and system configuration experience; or similar demonstrated experience working with health care claim processing
Prior experience in a Health Care organization or setting
Experience with Health Rules or Facets
Excellent interpersonal skills, including the ability to work across the organization and to interact, influence and negotiate effectively
Demonstrated ability to manage multiple priorities simultaneously in a deadline driven environment
Proficient in MS Project, Excel, PowerPoint and Word
Strong communication skills, both verbal and written
Preferred
Experience with Acuity software
Experience with Optum CES (Claims Editing Software)
Experience with SQL queries
Experience with Crystal reports/letters
Best regards,
Gautam Anand
|Sr. Technical Recruiter
Phone: +1 609 546-9245
Email: [email protected]
Gtalk: [email protected]