Business Analyst (US Healthcare / Medicaid) - Provider

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.