BA with HC Claims Exp
Codetech•Hartford, CT
About The Position
The Business Analyst will connect business operations with technical teams, translating business needs into technical requirements to improve and optimize healthcare claims systems. The role requires a deep understanding of the healthcare claims lifecycle, including adjudication, billing, and payer-provider interactions. The analyst will work with stakeholders, business users, IT developers, and quality assurance teams throughout the project lifecycle, and support improvements to claims systems and workflows.
Requirements
- At least 8 years of experience as a Business Analyst.
- At least 4 years of direct experience in the healthcare claims domain.
- Strong understanding of the end-to-end claims lifecycle, including adjudication, EDI transactions such as 837 and 835, coding such as CPT and ICD-10, and compliance standards such as HIPAA.
- Excellent analytical and problem-solving abilities.
- Proficiency in business analysis tools such as JIRA, Confluence, and Visio.
- Exceptional communication and interpersonal skills.
- Ability to manage multiple projects and priorities in a fast-paced environment.
- Bachelor's degree in Business, Health Informatics, or a related field.
Nice To Haves
- Relevant certifications, such as CBAP.
Responsibilities
- Elicit, document, and analyze business requirements for claims processing projects.
- Translate business needs into clear, actionable functional and non-functional requirements.
- Identify and recommend improvements to claims systems and workflows to enhance efficiency, accuracy, and compliance.
- Analyze data to uncover trends and potential issues.
- Act as a liaison between business users, IT developers, and quality assurance teams throughout the project lifecycle.
- Facilitate meetings and workshops to ensure alignment and clear communication.
- Create and maintain business requirements documents, use cases, process flows, and user stories.
- Develop reports and dashboards to track project progress and key performance indicators.
- Review test plans and test cases to ensure they align with requirements.
- Assist with user acceptance testing to validate that solutions meet business needs.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
