Job Description
Senior Business Analyst in Healthcare
Location: Remote
Responsibilities
Years of Experience: 10 15 Years
Key Experience:
Strong knowledge and hands-on experience in Medical Claims Adjudication across multiple payers.
Experience creating functional requirements documentation such as BRDs (Business Requirements Documents) and DSDs (Design Specification Documents).
Experience configuring claims-related business rules based on policy, business, and technical requirements.
Strong Healthcare domain experience is mandatory.
Hands-on experience working with Electronic Health Records (EHR) and Electronic Medical Records (EMR) systems.
Comprehensive understanding of healthcare business processes, payer-provider workflows, claims processing, and regulatory requirements.
Additional Experience:
2 to 5 years of experience as a Business Analyst, Systems Analyst, or related role working with information technology and business teams.
Bachelor's degree in a technical or business discipline, or an equivalent combination of education and experience.
Intermediate knowledge of requirements gathering, documentation, analysis, validation, traceability, prioritization, and change management.
Ability to translate high-level business requirements into detailed functional and technical requirements.
Experience with Long-Term Care (LTC), Inpatient, and Outpatient claims processing.
Strong stakeholder management, communication, and client-facing skills.
Preferred Candidate Profile:
Extensive experience in the Healthcare industry, with expertise in EHR/EMR platforms, Medical Claims Adjudication, and Claims Processing.
Proven ability to gather business requirements, create detailed documentation, and work effectively with business and technical teams to deliver healthcare technology solutions.
Job Tags
Remote work
Similar Jobs
Fishing w/ Dynamite
...Dynamite in April 2013 and The Arthur J in June 2015. We are looking to recruit skilled, highly passionate, experienced and motivated Dishwasher/Stewards @ Fishing with Dynamite.A qualified Dishwashers will possess a minimum of 6 months dish experience in a high volume...
Gpac
Exciting Opportunity - 2nd Shift Production Supervisor Hours: 1:00 - 9:30 p.m. Gpac is working with a food manufacturing company in western OH known for producing high-quality meat products with a commitment to safety, consistency, and innovation. They take pride in...
Tonka Services LLC
Class A CDL A Truck Driver JobTonka Services LLC is a small family owned business located in Malvern, OH. Tonka Services was started... ...a maintenance shop and has then grown into a one shop stop for local owner operators and other local companies around the area. We now...
University of Alaska Fairbanks
...collaborative team in one of Alaska's most beautiful academic libraries, where views of Auke Lake and the surrounding mountains create... ...activities. This multifaceted position spans technical services, public services, outreach, and digital collections. Primary...
Arosa Houston
...Best! Are you a compassionate and skilled nurse looking to make a real difference in the... ...knowing you're joining a team that values quality, excellence, and client care. Key... ...: Provide meaningful care that directly improves the lives of our clients and their families...