- Work with clients to create and gather requirements and document them according to standards
- Define and adhere to processes for requirement solicitation, documentation, and handoff
- Collaborate with development, architecture, and design teams to clarify requirements and define GUI and platform requirements
- Lead constructive discussions and brainstorming sessions to support solution implementation
- Run queries, perform basic system analysis, and conduct root-cause analysis
- Create interface mapping documents covering business rules, transformations, and database mappings
- Collaborate with clients and development teams throughout development stages
- Conduct milestone demos and track and close feedback
- Multitask across internal teams and clients according to task priorities
- Validate test scenarios, test plans, and test data
- Review requirements and documentation and create Requirements Traceability Matrices
- Assess product functionality against market trends and regulatory requirements for future versions
- Communicate requirements and product features to technical teams and architects
Requirements
- 2-4 years of experience stated for the SFDC BA position
- Minimum 5 years of experience in the healthcare payer domain
- Prior experience implementing or maintaining commercial payer solutions and/or Medicaid systems
- Strong understanding of claims processing, member enrollment, and care management concepts
- Ability to gather, create, and document client requirements according to standards
- Understanding of web services and relational databases
- Ability to run queries, perform basic system analysis, and conduct root-cause analysis
- Ability to create interface mapping documents including business rules, transformations, and database mappings
- Excellent written and spoken communication skills
- Ability to multitask between internal teams and clients based on priorities
- Ability to think out of the box and create new solutions
- Ability to validate test scenarios, test plans, and test data
- Ability to review requirements and create Requirements Traceability Matrices
- Ability to assess product functionality against market trends and regulatory requirements
- Ability to communicate requirements with technical teams and architects
- MS Visio usage is optional
- Awareness of Jira, TFM, Azure DevOps, defect tracking, and version control tools is optional
- DB client usage for database queries is optional
Core Competencies
Demonstrates expertise in gathering and documenting client requirements, conducting system analysis, and validating test scenarios within the healthcare payer domain. Proficient in collaborating with cross-functional teams to ensure alignment on product features and regulatory compliance.
Highest-signal resume keywords
- Healthcare Payer Domain Experience
- Requirements Documentation
- System Analysis
- Claims Processing Knowledge
- Test Scenario Validation
ATS Optimization Keywords
Hard Skills
- Requirements Gathering
- Root-Cause Analysis
- Interface Mapping
- Test Plan Validation
- Requirements Traceability Matrices
Soft Skills
- Excellent Communication Skills
- Multitasking Ability
- Creative Problem Solving
Industry Keywords
- Claims Processing
- Member Enrollment
- Care Management
- Commercial Payer Solutions
- Medicaid Systems
Tools & Technologies
- Jira
- Azure DevOps
- MS Visio
- TFM