Business Analyst - Eligibility

Codetech • Boston, MA

1d

About The Position

Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 834 and proprietary eligibility, COB, and group files for various health plans. The analyst will develop an understanding of the business rules, core platforms, and applications involved in EDI exchanges; lead end-to-end eligibility exchange design and implementation; facilitate stakeholder discussions; document requirements and specifications; and conduct end-to-end testing.

Requirements

• Experience as a Business Analyst.
• Expertise in Electronic Data Interchange (EDI).
• Experience developing and performing test scenarios.

Responsibilities

• Work independently and with minimal oversight.
• Develop a comprehensive understanding of business rules, core platforms, and applications used for EDI exchanges.
• Lead the design and implementation of end-to-end frameworks for processing eligibility exchanges that meet business needs and industry standards.
• Facilitate discussions with health plans and other stakeholders to identify and clarify requirements, review UAT test cases, and align on project objectives and deliverables.
• Communicate effectively throughout the project process.
• Document business rules, process flows, and technical specifications.
• Conduct multiple rounds of end-to-end testing and develop and perform test scenarios.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed