Business System Analyst (BSA)

UST; United (PA); Remote; USD 104,000 - 156,000; Full time

Job summary

A technology solutions company is looking for a Business System Analyst (BSA) to capture business requirements in the healthcare domain. This role involves collaborating with various stakeholders and producing high-level workflow diagrams. Ideal candidates should have extensive experience in business analysis, especially in the healthcare payor sector. The position offers a remote work model with a compensation range of $104,000-$156,000.

Qualifications

• 10+ years of relevant work experience in business analysis.
• Experience working in an onshore/offshore model.
• Experience documenting requirements or user stories.

Responsibilities

• Capture business requirements for core-admin business functions.
• Develop business and functional requirements for key healthcare systems.
• Collaborate with development and QA teams.

Skills

Healthcare Payor knowledge

Requirement elicitation

Communication skills

Agile methodology

EDI transaction mapping

Education

Bachelor's degree or higher

Tools

Agile tools

SQL

Job description

Job Description:

Job information Business System Analyst (BSA) from the Company UST, this latest Business System Analyst (BSA) job vacancy is located in the city United States located in the country United States . This latest job opening is open to job seekers who have the latest education / graduate Bachelor Degree . Job Vacancies in this Information Technology field have been opened and published up to the specified time.

Job Responsibility:

The Business System Analyst (BSA) will help in capturing the business requirements to run the Health plan customer's Core admin business functions while implementing UST HealthProof's core-admin ecosystem. The BSA will work with the Health Plan Customers, third-party vendors/partners, Internal product teams, solution architects, and product owners to define the business rules and processes required for implementation

The Candidate should possess deep knowledge & experience in HealthCare Payor domains (Claims adjudication, Enrollment, Provider, Payment). He / She should have excellent requirement elicitation and communication skills and the ability to engage as part of a team working both physically and virtually.

The Opportunity

• Leading business requirement conversations with customers and internal teams.
• Managing the end-to-end requirements involving all the stakeholders.
• Responsible for developing business and functional requirements for Claims, Enrollment, Provider, Authorization, and Payment systems.
• Create solutions for current business processes using UST HealthProof's core-admin ecosystem.
• Negotiate with clients to develop processes that are current and applicable to the situation.
• Collaborate with business users, management, IT, and offshore staff to ensure the finished product meets project objectives and client expectations by applying an ‘Agile-like' project methodology.
• Instrumental in analyzing the healthcare business requirements and translating them to functional and technical requirements
• Identify opportunities for automation, performance improvements, and reusability.
• Develop high-level workflow diagrams and system context diagrams.
• Document the understanding of the process flow using swim lanes diagrams.
• Produce the Requirements plan that aligns with the overall Project Implementation plan.
• Dictate the risks and dependencies in a timely manner with the Customer to complete the requirement gathering to meet the project plan dates.
• Must work with Offshore Business Analysts to elaborate user stories
• Conduct Requirements walk through with the customer and internal/external stakeholders
• Collaborate with the development team & QA team to ensure the finished product meets project objectives and client expectations.
• Contribute towards sprint planning, retrospective, go-live/no go-live evaluation meetings.
• Conduct a Demo of MVPs for the customer.

What you need:

• Knowledgeable in the Healthcare insurance domain (Medicare, Medicare Advantage, Medicaid, ACA, or Commercial).
• Exposure to healthcare ecosystems from partners like HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare.
• Experience with mapping of EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278)
• Awareness of Agile tools and scrum methodologies.
• Communication skills with peers, customers, and partners including the ability to convey information effectively.
• Experience in analyzing business requirements and translating/mapping them to technical requirements in EDI technology by analyzing implementation/companion/TR3 guides.
• Experience documenting requirements or user stories and communicating the requirements to technical teams, partners/vendors, or product teams Experience working in an onshore/offshore model is a must.
• Experience working with HealthEdge applications like HealthRules Payor or GuidingCare is a plus.
• Understanding of SQL and XSDs is a plus.
• Bachelor's degree or higher in business or technical field, 10+ years of relevant work experience in business analysis

Role Location: Remote

Compensation Range: $104,000-$156,000

UST HealthProof is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.