Claims Business Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Gather, evaluate, and document the business requirements for enhancements in healthcare claims processing.

• Collaborate closely with developers to convert business needs into technical solutions.

• Assess the functionality of existing systems and determine the impact of requested modifications.

• Document business processes, workflows, use cases, and functional specifications comprehensively.

• Lead discussions with technical teams, business stakeholders, and project leadership.

• Foster strong relationships across various cross-functional teams.

• Clearly communicate the status of projects, along with associated risks, issues, and recommendations.

• Assist in planning activities for system enhancements and future modernization projects.

• Support testing efforts, including the validation of requirements and analysis of defects.

• Aid in the planning and execution of system integration activities.

• Ensure that delivered functionality aligns with documented business requirements.

• Engage in solution reviews and initiatives for continuous process improvement.

• Create and sustain business analysis documentation throughout the entire project lifecycle.

• Identify opportunities to enhance business processes and improve operational efficiency.

• Ensure that documentation remains up-to-date and in line with changing business needs.

⛳️ Requirements

• A minimum of 5 years of experience as a Business Analyst.

• Experience in supporting healthcare or insurance claims processing systems.

• Strong comprehension of claims processing and payment workflows.

• Proficient in gathering, documenting, and validating functional requirements.

• Excellent analytical, organizational, and problem-solving abilities.

• Outstanding written and verbal communication skills.

• Comfortable facilitating discussions in a fully remote setting.

• A self-motivated individual capable of working independently as well as collaboratively with both technical and business teams.

🏝️ Benefits

• Health & Wellness: Medical (BC-BS), dental, and vision plans tailored to your needs.

• Paid Time Off: Generous PTO, paid holidays, and increasing PTO based on years of service.

• Retirement Savings: 401(k) plan featuring company match and auto-enrollment.

• Company-Paid Coverage: Short-term and long-term disability, life insurance, and AD&D insurance.

• Additional Options: Voluntary benefits including pet insurance and student loan assistance up to $1,000 annually.

• Perks: FSAs, HSAs, wellness programs, and more to improve your work-life balance.