COB & MSP Analyst — AI-Driven Business Analysis

Ethereum Technologies; Washington; Presencial; USD 90.000 - 150.000; Jornada completa

Descripción de la vacante

Ethereum Technologies is seeking a Business Analyst with COB expertise to serve as the subject matter expert for Coordination of Benefits operations, payer enrollment processing, primacy determination, and eligibility workflows. The role includes leading workshops with stakeholders and shaping future COB capabilities.

The ideal candidate will analyze current processes, document regulatory guidelines, and drive governance to ensure traceability from rules to the COB platform implementation.

Formación

• Current-state and future-state assessments.
• Facilitate business process modeling and impact assessments.
• Translate complex requirements into epics and user stories.
• Requirements traceability throughout the SDLC.
• Define MVP scope and release priorities.

Responsabilidades

• Act as the SME for Coordination of Benefits operations, payer enrollment processing, primacy determination, overlap management, and member eligibility workflows.
• Lead workshops with payer operations, business users, product owners, and executive stakeholders.
• Analyze and rationalize existing COB business processes and operational workflows.
• Interpret and document NAIC COB guidelines, MSP rules, Medicaid regulations, and state COB requirements.
• Drive governance and traceability from regulations to platform implementation.
• Define future-state business capabilities for modernized COB ecosystems.

Herramientas

ChatGPT

Claude

Copilot

Gemini

Descripción del empleo

Ethereum Technologies is seeking a Business Analyst with COB expertise to serve as the subject matter expert for Coordination of Benefits operations, payer enrollment processing, primacy determination, and eligibility workflows. The role includes leading workshops with stakeholders and shaping future COB capabilities.

The ideal candidate will analyze current processes, document regulatory guidelines, and drive governance to ensure traceability from rules to the COB platform implementation.