Job Description :

Job Title – Business Analyst with Healthcare exp

Project Location – New York, NY

Type of Hire – Contract

Job Description –
Qualification: Bachelor’s Degree in Business, IT, Engineering, or other relevant field (Required)
Advanced Degree in Business (Preferred) - Tier 1 MBA (Strongly Preferred)

Healthcare experience in:
Federal and state programs – regulatory compliance programs
Medicare, Medicaid and commercial products.
Care management
Medical Claims processing
Vendor management
Member enrollment and billing
EDI file processing
Provider network management
Departments and functions of Payer etc.

Tools and Products:
Healthcare: Facets, CareAdvance, EAM
Requirements and Business Process: ALM, Sharepoint, Visio, MS office.

Typical project experience:
Healthcare claims processing solutions
New Implementations, Conversions, Customizations of Facets
System implementations , process improvements , program management and the lead the teams to build the various custom interfaces

Responsibility: Problem and Scope Definition:-
Provide primary support for formulation of problem statement and definition of scope for her/his assigned area(s)
Work independently and bring thought leadership to bear in order to identify root cause of the issue
Work with engagement management to define scope of work in context of larger project
Construct problem statement to include problem description, those affected and benefits of solving the problem, and implications of not doing so
Support the identification of project risks and mitigation

Requirements Gathering:-
Demonstrate exceptional requirement gathering techniques with minimal direction from engagement management
Design, conduct and facilitate requirements sessions
Organize and sequence requirements into a user requirements document
Write well-formed, validated requirements and manage changes
Use appropriate tools to record, track and manage requirements

Business Analysis:-
Review and analyze relevant documentation to ensure the understanding of an organizations function and capabilities
Lead relevant research to increase understanding in support of developing comprehensive solutions
Serve as liaison between stakeholders—demonstrate understanding of client’s structure, policies, and operations
Logically structure recommendations and supporting data to formulate a solid, logical and understandable business case
Utilize appropriate business modeling techniques to represent and graphically depict various activities, processes and data. These could include:
Business process modeling
Process flow modeling
Data flow modeling

Engagement Delivery:-
Deliver exceptional engagement delivery support
Identify and manage engagement risks for area of responsibility
Independent of close supervision, develop high quality deliverables that are “client-ready” the first time
Proactively share ongoing point of view and perspectives based on experience/expertise
Display strong listening and communication skills when interacting with client and team
Work with teams to resolve conflicts between project stakeholders
Provide estimates and timelines to complete the task

Engagement Governance:-
Develop governance and communication plans that facilitate smooth delivery of project
Provide engagement lead with consistent and frequent updates through written and verbal communications
Effectively track and/or escalate risks and issues
Work on multiple projects