Lead Business Analyst
Posted Today by 1766132007
Negotiable
Outside
Remote
USA
Summary: The Lead Business Analyst is responsible for analyzing business problems and developing technical solutions for Provider Payments, focusing on complex information systems. This role requires managing requirement scope and serving as a liaison between IT teams and clients throughout project phases. The position demands significant experience in healthcare verticals, particularly in Medicare and Medicaid, and involves providing direction on state program activities. The role is remote, allowing flexibility in work arrangements.
Key Responsibilities:
- Analyze business problems and identify gaps in processes.
- Develop technical solutions for complex information systems related to Provider Payments.
- Manage requirement scope and determine appropriate methods for assignments.
- Serve as a bridge between IT teams and clients throughout project phases.
- Provide day-to-day direction on state program activities.
Key Skills:
- Bachelor's or master's degree.
- 12 years of experience as a Business Analyst.
- 5 years of experience on large complex projects in Medicare, Medicaid, or healthcare.
- 3 years of Lead Business Analyst experience on large complex projects.
- Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
- Knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
- Experience generating Remittance Advices (835X12s).
- Experience in Business Analysis Process (SDLC, documentation procedures).
- Excellent customer relation skills, including presentation and meeting facilitation.
- Experience facilitating customer-facing requirements and design sessions.
- Understanding of corporate policies, including HIPAA and its Privacy and Security Rules.
- Proficiency in SQL and high-level technical and database knowledge (preferred).
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
Title: Lead Business Analyst
Location: Remote
Job Summary:
Senior Business Analyst is responsible for analyzing business problems, identify gaps, and develop technical solutions involving complex information systems with no supervision for Provider Payments that maintains various accounting information. This role involves managing requirement scope, determining appropriate methods on potential assignments, and serving as a bridge between information technology teams and the client through all project phases; provide day-to-day direction on State program activities.
Required Qualifications
- Bachelor's' degree or master's degree.
- Total 12 years of experience as a Business Analyst
- Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
- Minimum 3 years of Lead Business Analyst experience on large complex projects.
- Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
- Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
- Excellent knowledge of generating Remittance Advices (835X12s).
- Excellent Business Analysis Process (SDLC, documentation procedures) experience.
- Excellent customer relation skills including presentation and meeting facilitation.
- Experience facilitating and running customer facing requirements and design sessions
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Preferred Qualifications
- Strong knowledge and proficiency in SQL, plus high-level of technical and database knowledge