A company is looking for a Senior Business Analyst - Claims.
Key Responsibilities
Coordinate the duties of a business analyst team and mentor newer members
Facilitate client meetings to gather requirements and document potential solutions
Create test scenarios and plans, analyze testing results, and ensure client requirements are met
Required Qualifications
6+ years of experience in a relevant Business Analyst position, preferably in Health Care / Health Insurance
Strong background in Medicaid and claim processing using Institutional and Physician claim forms
Knowledge of Prior Authorization and related healthcare concepts
Experience with project and change management tools and Software Development Life Cycle (SDLC)
Experience in creating deliverable documentation and implementing benefit plan configurations in MMIS
Senior Analyst • Fresno, California, United States