Role: Healthcare Business System Analyst
Remote (Anywhere in the US) Quarterly Travel to Puerto Rico for a week is required.
Job Type: Contract
Note: Fluency in Spanish language is required.
Role:
As a Business System Analyst, you will be a part of an Agile team to build healthcare applications and implement new features.
Mandatory Skills/Experience:
• Expertise in core SQL
• Experience with HRP
• Business Systems Analysis background
• Experience working in the Payer domain
• Knowledge of Healthcare Claims transactions
Responsibilities/Requirements:
• 12+ years of experience as a Business Analyst in the healthcare payer domain.
• Fluency in Spanish language.
• Analyze and document business processes, workflows, and requirements.
• Working SQL knowledge.
• Deep experience and understanding of Healthcare Payer and Claims.
• Identify AI use cases.
• Experience writing user stories with proper acceptance criteria.
• Develop and maintain comprehensive documentation, including business requirements, process flows, and use cases.
• Facilitate meetings and workshops with cross-functional teams to gather and validate requirements.
• Ensure compliance with healthcare regulations and standards (e.g., HIPAA, ACA).
• Provide insights and recommendations based on data analysis to support decision-making. Lead/mentor junior business analysts and team members if needed.
• Stay current with industry trends and best practices in healthcare and payer systems.
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