Title: Senior Business Analyst (LTC, Annuity and Life Insurance)
Location: Piscataway,NJ (Onsite)
Position type: W2 contract.
Mandatory skills: Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance, Third Party Administration (TPA), TPA Health, LOMA and CBAP certificated
Job Summary:
We are seeking an experienced Senior Business Analyst with deep expertise in Long-Term Care (LTC) insurance Third Party Administration (TPA) to join our dynamic team.
The ideal candidate will have a thorough understanding of LTC policy terms, claim adjudication processes, and US regulatory requirements.
This role requires excellent communication skills to collaborate effectively with cross-functional teams and stakeholders while adhering to Agile/Scrum methodologies.
The Senior Business Analyst will play a pivotal role in bridging the gap between business needs and technical solutions, ensuring seamless delivery of LTC-specific systems and processes.
Key Responsibilities:
Domain-Specific Expertise and Analysis:
- Analyze and interpret LTC insurance policy terms, benefit structures, claim adjudication guidelines, and compliance with US regulations.
- Conduct in-depth gap analysis to identify inefficiencies and improvement opportunities in LTC claims adjudication and benefit management processes.
- Assist in the development and validation of automated workflow solutions for LTC claims processing and benefit determinations.
- Facilitate the integration and rigorous testing of LTC-specific claims systems and third-party vendor platforms.
- Support customization and configuration of LTC policy rules to meet diverse client requirements.
- Serve as the principal liaison for domain-specific training, documentation, and knowledge transfer to internal teams and external stakeholders.
Requirements Gathering and Documentation:
- Elicit, analyze, and document comprehensive business, functional, and non-functional requirements specific to the LTC insurance domain.
- Develop clear process flow diagrams, use cases, wireframes, and other visual aids to effectively communicate requirements.
- Prepare detailed requirement traceability matrices to ensure alignment and coverage throughout the project lifecycle.
Stakeholder Communication & Agile Collaboration:
- Facilitate effective communication between business stakeholders, product owners, and technical development teams to foster clear understanding and consensus on project requirements.
- Lead stakeholder interviews, collaborative workshops, and requirement gathering sessions to capture evolving business needs.
- Actively participate in Agile ceremonies including sprint planning, daily stand-ups, sprint reviews, and retrospectives.
- Manage change requests with thorough analysis, documentation updates, and communication to all relevant parties.
- Provide ongoing support, training, and user adoption strategies post-implementation.
Quality Assurance & Testing Support:
- Collaborate with QA teams to define test cases informed by business requirements.
- Support system integration testing and user acceptance testing phases.
- Assist in defect triage, tracking, and resolution to ensure quality deliverables.
Project Management Support:
- Contribute to project planning activities including scope definition, risk assessment, and timeline estimation.
- Monitor project progress and provide status updates to leadership and stakeholders.
Continuous Improvement & Best Practices:
- Stay current with industry trends, emerging technologies, and best practices in LTC insurance and business analysis.
- Recommend process and system enhancements to improve operational efficiency, compliance, and customer satisfaction.
Qualifications:
- We are looking for onshore BA will 8-10 years of experience in insurance domain.
- Proven experience as a Business Analyst in the LTC Insurance TPA domain with strong knowledge of US regulations.
- Demonstrated ability to interpret LTC policy language and claims adjudication processes.
- Proficient in Agile/Scrum methodologies with experience working in functional and cross-functional teams.
- Exceptional communication skills, capable of effectively engaging with technical teams and business stakeholders at all levels.
- Strong analytical thinking with proficiency in creating process flows, use cases, and wireframes.
- Experience supporting testing activities (system, integration, UAT).
- Adept at managing requirements traceability, change management, and stakeholder expectations.
- Ability to serve as a domain expert and trainer for LTC insurance processes.