Healthcare Payer Business analyst

  • Full-time

Company Description

P

    Qualifications

    Position : Healthcare Payer Business analyst

    Location : Germantown, Maryland

    Hybrid

     

    we need a candidate with at least 6-8 years expertise working in a Healthcare payer ecosystem and having worked on some or all of these modules listed below  with knowledge of underlying data connects  (atleast at high level).

     

    • Benefit Plans
    • Enrollment and Membership
    • Groups
    • Premium Billing
    • Provider Networks and Contracts
    • Claims Processing and Payment
    • Capitation
    • Authorization and Referrals
    • Enterprise-Wide Workflow
    • Security
    • Reporting & Analytics

    Overall 8+ years’ experience with minimum of 4 years’ experience in BA role

    • Knowledge of Health care Payor domain
    • Requirement Gathering in agile methodology
    • Collection and documentation of requirements from customer
    • Advice and support in the assessment of complexity as well as Prioritization of requirements
    • Support for the transfer of requirements to the development team
    • Strong English skills (for the purposes of all documentation requirements are to be in English only)
    • Strong customer orientation and professionalism in dealing with external customers
    • Experience in the work of distributed teams

     

    Additional Information

    All your information will be kept confidential according to EEO guidelines.

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