Remote Healthcare Payor Business Analyst

Wellframe; United States; Teletrabalho; USD 100 000 - 120 000; Tempo integral

Resumo da oferta

HealthEdge, a leader in healthcare technology, seeks a Business System Analyst for remote US work. Your role will capture business requirements for core admin workflows in health plans, collaborating with customers, partners, and architects to deliver scalable BPaaS solutions.

You will translate complex healthcare processes into functional specs, support Agile delivery, and drive enhancements across claims, enrollment, provider, and payment systems. A strong healthcare background is essential.

Qualificações

• Knowledge of Healthcare insurance domain (Medicare, Medicaid, ACA, Commercial).
• Experience mapping EDI healthcare transactions (837, 834, 835, 270/271, 276/277, 278).
• Exposure to HealthEdge ecosystems and related tools.

Responsabilidades

• Lead business requirements conversations with customers and internal teams.
• Develop business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems.
• Collaborate with development and QA teams to ensure final product meets objectives.
• Produce requirements plans aligned with project implementation timelines.
• Identify automation opportunities and process improvements.

Conhecimentos

Healthcare domain knowledge

EDI mapping (837/834/835)

Agile / Scrum

SQL

Communication skills

Onshore/offshore collaboration

HealthEdge applications (HealthRules)

Formação académica

Bachelor’s degree or higher in business or technical field

Ferramentas

HealthRules Payor

GuidingCare

Descrição da oferta de emprego

HealthEdge, a leader in healthcare technology, seeks a Business System Analyst for remote US work. Your role will capture business requirements for core admin workflows in health plans, collaborating with customers, partners, and architects to deliver scalable BPaaS solutions.

You will translate complex healthcare processes into functional specs, support Agile delivery, and drive enhancements across claims, enrollment, provider, and payment systems. A strong healthcare background is essential.