Senior Consultant Business Systems

Primary Responsibilities:

• Analyze and document business processes and requirements specific to the US healthcare industry and claims processing
• Develop and maintain system specifications and functional requirements
• Collaborate with stakeholders to identify and prioritize system enhancements
• Conduct gap analysis and recommend solutions to improve healthcare business processes and claims management
• Work closely with IT teams to design, develop, and implement system solutions
• Ensure compliance with healthcare regulations such as HIPAA and HITECH
• Perform system testing and coordinate user acceptance testing (UAT)
• Provide training and support to end-users
• Monitor system performance and troubleshoot issues as needed
• Prepare and present reports on system performance and project status
• Utilize Rally for Agile project management and tracking
• Create process flow diagrams and documentation using Vision
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Qualifications - External

Required Qualifications:

• Bachelors degree in business administration, Information Technology, Healthcare Management, or a related field
• 8+ years of experience as a Business System Analyst or in a similar role within the US healthcare industry
• Experience with healthcare information systems (e.g., EHR, EMR) and regulatory compliance
• Solid understanding of healthcare business processes, claims processing, and system analysis techniques
• Proficiency in using business analysis tools and software, including Rally and Visio
• Proven excellent problem-solving and analytical skills
• Proven solid communication and interpersonal skills
• Proven ability to work independently and as part of a team