Business analyst -Healthcare
Posted 1 day ago by 1756880482
Negotiable
Outside
Remote
USA
Summary: The role of a Business Analyst in the healthcare sector involves leveraging healthcare experience and business knowledge to analyze requirements and improve processes. The position requires proficiency in payment processes, claims management, and compliance standards, alongside strong general business analysis skills. Effective communication and interpersonal skills are essential for engaging with stakeholders and leading meetings. The role is remote and classified as outside IR35.
Key Responsibilities:
- Analyze healthcare payment processes and remittance generation.
- Review and understand different sections in paper remits and 835 segments.
- Understand payment flow after claim adjudication and claims lifecycle.
- Conduct requirement analysis and data mapping.
- Utilize Agile/Scrum methodologies to write user stories and manage backlogs.
- Engage with business stakeholders and lead meetings.
- Perform root cause analysis and data validation using SQL queries.
Key Skills:
- Healthcare experience and business knowledge.
- Understanding of payment processes and claims management.
- General business analysis skills including requirement analysis and data mapping.
- Agile/Scrum knowledge and experience with tools like Jira and Confluence.
- Proficient in documentation and modeling tools like Excel, Word, Miro, and Visio.
- Strong communication and interpersonal skills.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
Detailed Description From Employer:
-
Healthcare Experience
-
Business knowledge: (Preferred)
-
BA with Payment process knowledge
- Remittance generation
- Able to review and understand different sections in paper remit
- 835 knowledge
- identify key information populated in 835 segments
- Balancing claim, line level and payment level
- Understanding of payment flow after claim Adjudication process
- Understanding of Claims, provider setup
- Claim life cycle, claim status
-
Familiar with Industry compliance standards like HIPAA
- General BA skills:
- Requirement analysis and gathering
- Data mapping
- Agile/Scrum knowledge - Write user stories, acceptance criteria, features, sprint, backlog
- Worked on tools like rally, jira, confluence
- Experience and knowledge of documentation tools like excel, word.
- Modelling tools like miro, visio
- Proficient in writing SQL queries for data analysis, validation
- Perform root cause analysis
- Communication and interpersonal skills:
- Engaging with business stakeholders
- Good presentation skills
- Ability to lead meetings, resolve conflicts, take notes