Works with customers on presenting technical solutions for complex business functionalities.
- Possesses unwavering commitment to customer service and operational excellence.
- Provides customer support through leading client demos and presentations.
- Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases.
- Creates and modifies Business Process Models.
- Understands the overall system architecture and cross-functional integration.
- Demonstrates in-depth knowledge of business analysis relates to Provider Enrollment, Maintenance and Screening to ensure high quality.
- Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers.
- Possesses in-depth knowledge and is well-versed in multiple functions or capabilities.
- Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications.
- Analyzes user requirements and client business needs, leveraging expert opinion and expertise.
- Acts as the requirements subject matter expert and supports requirements change management.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Requirements
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Bachelor's’ degree with 7+ years of business analysis experience or master’s degree with 5+ years of business analysis experience.
- Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
- Minimum 3 years of Lead Business Analyst experience on large complex projects.
- Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
- Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
- Excellent knowledge of generating Remittance Advices (835X12s).
- Excellent Business Analysis Process (SDLC, documentation procedures) experience.
- Excellent customer relation skills including presentation and meeting facilitation.
- Experience facilitating and running customer facing requirements and design sessions