Senior Business Analyst - Claims

A company is looking for a Senior Business Analyst - Claims.

Key Responsibilities

Coordinate a business analyst team's activities on IT projects and mentor newer team members

Facilitate client meetings to gather and document requirements and create test scenarios for business applications

Analyze, plan, and document recommendations to improve business processes in support of client technology goals

Required Qualifications

6 or more years of experience in a relevant Business Analyst position, particularly in Health Care / Health Insurance

Strong background in Medicaid and claim processing using Institutional and Physician claim forms

Familiarity with Prior Authorization, Member, Provider, Long-Term Care, Inpatient / Outpatient concepts

Experience with project and change management tools such as ALM, iTrace / rTrace

Proficiency in Software Development Life Cycle (SDLC) and experience with Medicaid Management Information System (MMIS) updates