Talent.com
Healthcare Architect

Healthcare Architect

OpenkyberNJ, United States
1 day ago
Job type
  • Full-time
  • Quick Apply
Job description

Role : Healthcare Business Analyst (with claims)

Location : Hybrid on site (CT, TX, IL, RI) only Locals

Mode of interview : Video to hire

Duration : 6 months to start (Contract to hire)

Valid LinkedIn & ID , and Education (on resume)

We are seeking a detail-oriented and analytical Business Analyst to support a Claims Workflow Optimization initiative. The ideal candidate will serve as a bridge between business needs and technical solutions, focusing on improving claims processes, ensuring compliance, and driving operational efficiency through workflow management platforms such as Salesforce or ServiceNow.

This role requires a strong understanding of healthcare claims, process design, and system integration in a payer environment.

Responsibilities

  • Collaborate with business stakeholders to gather, document, and validate business and system requirements.
  • Translate business needs into clear, actionable functional specifications for development and configuration teams.
  • Analyze current workflows and recommend optimizations to improve throughput, accuracy, and compliance.
  • Support testing, validation, and rollout of new or enhanced claims systems and workflow tools.
  • Partner with technology teams to ensure solutions align with business goals and regulatory requirements.
  • Contribute to Agile ceremonies and ensure documentation is maintained and up to date.

Required Skills & Experience

  • 5+ years of experience as a Business Analyst within healthcare payer organizations.
  • Strong knowledge of the claims lifecycle, including submission, adjudication, and resolution processes.
  • Experience with claims adjudication systems such as QNXT, HealthEdge, or similar platforms.
  • Proficiency with workflow management tools like Salesforce, Service Now, or equivalent case management systems.
  • Solid understanding of business process analysis, requirements gathering, and system documentation.
  • Excellent communication skills, with the ability to interact effectively with both business and technical teams.
  • Experience working in Agile / Scrum environments.
  • Thanks

    John

    NetStrive Consulting, LLC

    450, E. 22 nd St, Suite 178,

    Lombard, IL 60148

    Direct : Desk No : Ext-404 Fax : Web : Email :

    Note : This email is not intended to be a solicitation. Please accept our apologies and reply in the subject heading with REMOVE to be removed from our mailing list.

    Create a job alert for this search

    Architect Healthcare • NJ, United States

    Related jobs
    • Promoted
    Travel Physical Therapy Assistant

    Travel Physical Therapy Assistant

    Go HealthcareBrick, NJ, US
    Full-time
    Go Healthcare is seeking a travel Physical Therapy Assistant for a travel job in Brick, New Jersey.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per week (su...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Nurse RN - Medical-Surgical - $2,050 to $2,291 per week in Manahawkin, NJ

    Travel Nurse RN - Medical-Surgical - $2,050 to $2,291 per week in Manahawkin, NJ

    TravelNurseSourceManahawkin, NJ, US
    Full-time
    TravelNurseSource is working with Prime Time Healthcare to find a qualified Med / Surg RN in Manahawkin, New Jersey, 08050!. Now Hiring : RN Med Surg - Manahawkin, NJ.Contact us for Pay Information.Act...Show moreLast updated: 16 hours ago
    • Promoted
    Travel Outpatient Physical Therapist

    Travel Outpatient Physical Therapist

    Jackson Therapy PartnersLittle Egg Harbor Township, NJ, US
    Full-time +1
    Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Little Egg Harbor Township, New Jersey. Job Description & Requirements.Looking for a change of scen...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Certified Occupational Therapy Assistant

    Travel Certified Occupational Therapy Assistant

    Go HealthcareTuckerton, NJ, US
    Full-time
    Go Healthcare is seeking a travel Certified Occupational Therapy Assistant for a travel job in Tuckerton, New Jersey.Job Description & Requirements. Certified Occupational Therapy Assistant.Pay ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    MedPro Healthcare StaffingManahawkin, NJ, US
    Full-time
    MedPro Healthcare Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Manahawkin, New Jersey. Job Description & Requirements.Joint Commission-certified staffin...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Noor Inc.Manahawkin, NJ, US
    Full-time
    RN Med Surg / Telemetry for a travel nursing job in Manahawkin, New Jersey.Job Description & Requirements.HIRING NOW : Travel MS Tele RN in Manahawkin, NJ. Weekly Gross Pay : $2,418 for 36 hours.T...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Speech Language Pathologist (SLP) - $2,266 per week in Egg Harbor Township, NJ

    Travel Speech Language Pathologist (SLP) - $2,266 per week in Egg Harbor Township, NJ

    AlliedTravelCareersEgg Harbor City, NJ, US
    Full-time
    AlliedTravelCareers is working with Coast Medical Service to find a qualified Speech Language Pathologist (SLP) in Egg Harbor Township, New Jersey, 08234!. Coast Medical Service is a nationwide trav...Show moreLast updated: 10 days ago
    • Promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Skyline Med Staff AlliedBrick, NJ, US
    Full-time
    Skyline Med Staff Allied is seeking a travel Physical Therapist for a travel job in Brick, New Jersey.Job Description & Requirements. Join the Top- Rated Travel Healthcare Team!.Skyline Med Staf...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Certified Occupational Therapy Assistant

    Travel Certified Occupational Therapy Assistant

    Synergy Medical StaffingTuckerton, NJ, US
    Permanent
    Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Tuckerton, New Jersey. Job Description & Requirements.Certified Occupational Therapy Ass...Show moreLast updated: 30+ days ago
    • Promoted
    Time Away & Life Solutions - Senior Consultant

    Time Away & Life Solutions - Senior Consultant

    AonHammonton, NJ, United States
    Full-time +1
    Time Away and Life Solutions Senior Consultant.Are you interested in a dynamic position that provides consultative support for Life and Disability Benefits to the Professional Employer Organization...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Go HealthcareNeptune City, NJ, US
    Full-time
    Go Healthcare is seeking a travel Physical Therapist for a travel job in Neptune, New Jersey.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hours per week (subject ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,103 to $2,256 per week in Brick Township, NJ

    Travel Nurse RN - Emergency Room (ER) / Trauma - $2,103 to $2,256 per week in Brick Township, NJ

    TravelNurseSourceLaurelton, NJ, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified ER / Trauma RN in Brick Township, New Jersey, 08724!. Host Healthcare is an award-winning travel healthcare company with an immedi...Show moreLast updated: 16 hours ago
    • Promoted
    Travel Medical-Surgical / Telemetry Registered Nurse

    Travel Medical-Surgical / Telemetry Registered Nurse

    Genie HealthcareManahawkin, NJ, US
    Full-time
    Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Manahawkin, New Jersey.Job Description & Requirements. Genie Healthcare is looking for a RN to work in Med Surg...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Malone Healthcare - NursingStafford Township, NJ, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Stafford Township, New Jersey. Job Description & Requirements.About Malone Healthcare - ...Show moreLast updated: 1 day ago
    • Promoted
    Travel Medical-Surgical / Telemetry Registered Nurse

    Travel Medical-Surgical / Telemetry Registered Nurse

    Talent4HealthManahawkin, NJ, US
    Full-time
    Talent4Health is seeking a travel nurse RN Med Surg for a travel nursing job in Manahawkin, New Jersey.Job Description & Requirements. EKG interpretation / cardiac rhythm analysis.Working knowle...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Travel Medical-Surgical / Telemetry Registered Nurse - $2,274 per week

    Travel Medical-Surgical / Telemetry Registered Nurse - $2,274 per week

    Genie HealthcareManahawkin, NJ, US
    Full-time
    Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Manahawkin, New Jersey.Job Description & Requirements. Genie Healthcare is looking for a RN to work in Med Surg / T...Show moreLast updated: 15 hours ago
    • Promoted
    • New!
    Travel Nurse RN - Telemetry - $1,910 per week

    Travel Nurse RN - Telemetry - $1,910 per week

    Supplemental Health CareManahawkin, NJ, US
    Full-time +1
    Supplemental Health Care is seeking a travel nurse RN Telemetry for a travel nursing job in Manahawkin, New Jersey.Job Description & Requirements. Supplemental Health Care is hiring Telemetry Regist...Show moreLast updated: 15 hours ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry - $2,201 per week

    Travel Nurse RN - Med Surg / Telemetry - $2,201 per week

    Malone Healthcare - NursingLaurelton, NJ, US
    Full-time
    Malone Healthcare - Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Brick Township, New Jersey. Job Description & Requirements.About Malone Healthcare - Nursing...Show moreLast updated: 17 days ago