Job Description :
Position: Sr. Business Analyst
Duration: 6-12 months
Location: Southborough, MA
Looking for local only
Must be able to convert w/in 6 months
We are unable to do any sponsoring now nor in the future
MUST have healthcare with CMS, State Medicaid and/or ACA regulations
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The Sr. Business Analyst is responsible for ensuring that business requirements are documented and every functional/business consideration is identified before implementing each solution. They must clearly understand and review/confirm with the client before functional requirements are finalized - alternative approaches are suggested where viable. Business Analysts are also responsible for functional requirements that are completely documented and understood, along with innovative solutions with best practices configuration choices are identified and explored for most prevalent use cases
Creates functional specifications- Collect, understand and transmit business requirements for projects, and translate into functional specifications, database designs and detailed test plans
Works with client business to understand requirements- Partner with clients to gather all requirements to formulate business process specifications and translate those into application functionality, understanding the value proposition(s) of the project and deciding when to advocate and when to compromise to arrive at mutually acceptable solutions
Works with Visiant technical staff to translate requirements- Assists the technical team in translating application functionality into application architecture and the production of system functionality documents. Communicate business directives, goals and needs to the technical team and serve as a client interface for managing user expectations and client satisfaction
Manages development life cycle- Helps design and execute test plans, tracks defects and gets resolved to ensure that business requirements and functional specifications are tested and fulfilled. Participates in and/or executes the multiple stages of testing (i.e., system, integration, installation, performance, regression)
Manage projects and processes as required
What You Need for this Position
Minimum of Bachelors'' Degree plus at least 5 years'' experience in business analysis or software validation and testing for Web-based applications in healthcare or health insurance, Medicare and commercial business lines
Demonstrated excellence in a rapid product developing environment, with experience gathering requirements, designing products (database and UI) and achieving high-quality results within specified timeframes
Experience in the planning, design and testing phases of SDLC, especially requirements analysis and business specification, development, enhancement, quality assurance, testing methodologies and implementations
Knowledge of business analysis and the iterative software development life cycle using rapid application development (RAD)
Basic PLSQL and/or SQL skills
Experience with Member and/or Provider portals
Experience with claims, especially ITS (internal system used by Blue Cross Blue Shield)
Experience with claims adjudication and procedures
Familiarity with CMS, State Medicaid and/or ACA regulations
Thorough understanding and ability to demonstrate the ika core administrative services of Gateway, Billing and Claims
Developing workflow and business rules diagrams in Visio
Interacting with a client in difficult situations
Creating data flow diagrams and data models including use case, activity and workflow diagrams using VISIO
Proficiency with Excel, MS Word etc.
Conveying pertinent information to technical team
Strong presentation skills and analytical/problem-solving skills
Ability to work in both structured and unstructured environments