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Healthcare Business Systems Analyst
Ref No.: 18-05251
Location: Newark, New Jersey
Position Type:Contract
Start Date / End Date: 06/18/2018 to 12/31/2018

Job description:

Title: Healthcare Insurance IT Business Systems Analyst

Resource will have direct interaction with Senior IT Leadership, Operational Business Owners, third party development vendors, and internal IT development departments.

The Resource must have exceptional communication skills. He/She must be able to effectively convey verbal and written information in a clear and concise manner. Resource must be self-motivated with a high regard for accountability of their work and able to motivate stakeholders to drive outcomes. Will require a proven ability to organize, lead, and execute necessary decisions while operating under pressure in complex situations. The individual must be a resourceful team player and excel at building trusted relationships with stakeholders. Dependable, responsible contributor committed to excellence and success.

Extensive knowledge and business acumen of the health insurance industry. Optimal resource will have experience in Healthcare Lines of Business, Products, Claims Processing, Claims Pricing, EDI and Mandates experience.
Primary deliverables and activities for this position may include, although not limited, to the following

• Business Requirements Documents
• Technical Requirements Documents
• Requirements Traceability Matrix
• Gathering and preparing solution based estimates
• Use Cases
• Test Plans/Test Cases
• Activity Diagrams
• Process Flows
• High Level Solution Diagrams (short of architecture)
• Gap Analysis
• Defect/Root Cause Analysis
• Conducting JAD sessions
• UML
• Data Mapping Documents

Required experience:

• 5–7 years of experience as a lead business system analyst is required
• 4+ years of experience in the health insurance industry is required.
• Should be experience in Claims Processing and Claims Pricing
• Should be experience in Healthcare Products and Benefits
• Should be extremely proficient EDI (834 Claim Enrollment Transactions)
• Should have experience working in large scale application migration/implementation projects.
• NASCO experience preferred
• Knowledge of federal exchange
• Portal knowledge preferred

Required skillset

• Excellent Communication skills
• Excellent Soft skills
• Excellent BSA skills

Preferred:

• Excellent Communication and presentation skills.
• Prior experience working in a group setting.
• Prior experience working in a challenging, fast paced, high pressure environment
• NASCO experience
• Experience working on Portals preferred
• Experience with working in multi-vendor environment is preferred