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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