Remote Senior Business Analyst

BA Healthcare

Phone + Skype

Remote

J.D:Location DC

Must have Claims Adjudication experience and in depth knowledge of the claims processing system. Theirs is an inhouse system so any previous Claims processing system is fine.

PURPOSE:
The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow.

Specifically, the Senior Business Analyst will be responsible for defining business intent, business requirements, user stories, functional requirements, non-functional requirements, detailed screen requirements/values and system/process impacts, and acceptance criteria for FEPOC's Claims and Audit processes and systems, focusing initially on post-adjudication processes, like Explanations of Benefits (EOBs) and financial reporting.



ESSENTIAL FUNCTIONS:
20% Interprets business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the Business area's user and/or technical (functional/non-functional) requirements. Collaborates in the creation of project plans to define, organize and schedule requirements management and development activities. Facilitates requirements analysis and verification sessions. Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements.

20% Responsible for the overall success of user acceptance testing, including documentation, verification and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Leads in creating formal communication to be delivered to relevant stakeholders. Provides guidance and training to application end users.

20% Identifies, documents and troubleshoots problems utilizing acquired experience and knowledge of the relationships in systems, software and processes. Collaborate with appropriate stakeholders to monitor, report and resolve issues. Participates in the development of solutions and workarounds that solve moderate to high complexity technical, system and/or business issues.

20% Reviews, analyzes and creates detailed documentation of business systems, processes, software and user needs. Responsible for the written documentation of requirements in accordance with established standards, in a clear and well organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of moderate to high complexity.

10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests.

10% Answers policy-related questions for business process, systems and software which require research and consultation with others internally and externally.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: Bachelor's Degree

Education Details: Business, Information Technology, Computer Science or related field

Experience: 5 years progressive experience in business analysis, systems analysis, testing or other analytical experience

In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Preferred Qualifications
Demonstrated ability to deliver high quality, effective deliverables on-time and be a significant contributor to the development of cost-effective solutions.
Proven understanding of business analysis core competencies

Knowledge, Skills and Abilities (KSAs)
High-level of knowledge and understanding of business products and services, Advanced
Microsoft Office applications usage, Advanced
Excellent communication skills both written and verbal, Advanced
Ability to analyze, organize, and prioritize work while meeting multiple deadlines, Advanced

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.