Business Analyst (US Healthcare / Medicaid) - Provider

Job Description

Essential Job Functions Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates. Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Executes systems tests from existing test plans. Assists in analyzing test results in various phases. Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project. What we're looking for Basic Qualifications 3+ years of experience in Business Analyst, Provider, Claims adjudication, Medicaid or Medicare, SQL. 3+ years of business functional experience in one or more areas such as Eligibility, Claims, Provider. Strong SQL knowledge. Ability to write complex queries. Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements. Experience using Microsoft Office Tools, specifically Excel. Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives. Being able to research, analyze, validate and document business requirements.