Senior Business Analyst - Claims & Enrollment Systems - Remote

Remote Jobs; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

A leading company is seeking a Senior Business Analyst specialized in Claims & Enrollment Systems. This remote position involves software development, mentoring, and collaborating with teams to address technical challenges while leveraging expertise in healthcare insurance. The ideal candidate will have a strong background in programming, problem-solving, and agile methodologies.

Qualifications

• 5+ years of relevant work experience, 2 years in a similar role.
• Proficient in software languages and development methodologies.
• Excellent communication and collaboration abilities.

Responsibilities

• Contribute to software development projects focusing on complex components.
• Debug production issues, collaborating with operations and support teams.
• Mentor junior team members and share expertise.

Skills

HealthRules Payer (HRP) Experience

Healthcare Insurance Experience

Agile Methodology

Programming and Debugging Skills

Problem-Solving Skills

Team Collaboration

Education

Bachelor's degree in Computer Science or equivalent

Job description

Ro le: Senior Business Analyst - Claims & Enrollment Systems

Location: Remote

Key responsibilities :

• Contribute to software development projects by writing, testing, and debugging code, with an emphasis on complex and critical components.
• Collaborate with team members to meet project requirements, actively participating in design and code reviews.
• Provide technical expertise and support to team efforts, acting as a subject matter expert in specific domains.
• Assist in solving complex technical challenges, researching and proposing solutions.
• Participate in defining software requirements and specifications.
• Debug and troubleshoot production issues, working closely with operations and support teams.
• Contribute to the assessment and adoption of new technologies and best practices.
• Mentor junior team members, providing guidance and knowledge sharing.

Must have

• Essential Job Functions:
• HealthRules Payer (HRP) Experience
• mandatory Healthcare Insurance experience on Claims, configuration, and/or financial background
• TA/BA/QA experience in an Agile Methodology or Waterfall project planning
• Testing experience

Like to have:

• EDI transactional knowledge and ability to update or audit values: 837 and 835
• Explanation of Payment knowledge/history, Financial or offset knowledge
• HRP XML transaction knowledge
• ITS system knowledge (Bluecard)

Basic Qualifications:

• Bachelor's degree in a relevant field (i.e., Computer Science) or equivalent combination of education and experience
• Typically, 5+ years of relevant work experience in industry, with a minimum of 2 years in a similar role years of relevant software engineering experience
• Proficiency in 1 or more software languages and development methodologies
• Strong programming and debugging skills
• Familiarity with software development practices and methodologies
• Strong problem-solving skills
• Good team collaboration and communication abilities
• Willingness to take ownership of complex technical challenges