*Role-Lead Healthcare Business Analyst *
* Duration:-6+ months*
*Location:-Long Beach, CA*
*Mode: interview in-person in Long Beach, CA *
*Visa- Candidate must be Green Card or US Citizen*
*Keys to the role: *
*Candidate must be a true lead BA and be able to work on a project as the
Sole BA on a project.*
*Healthcare Payer experience is a must*
*UM/CM/DM experience is a plus*
*7+ years as a BA*
*Job Summary*
*The Business Analyst provides expertise in the process of screening,
framing and modeling business requirements for process enhancements,
process improvements, and/ or cost savings. Reviews best practices and
makes recommendations on improving current practices and processes.
Responsible for organizing and documenting requirements into Business
Requirements Documents (BRDs) and Report Requirements Designs (RRDs).
Develops recommendations to solve problems and issues related to business
operations. Generally works on large scale projects of significant
complexity. Accountable for delivering work products that meet business
needs. *
*Essential Functions/Job Qualifications*
*Conducts and facilitates sessions to develop and coordinate the
requirements, specifications, design, and testing efforts for medium to
large projects. *
*Analyzes business workflow and system needs for new features and
enhancements; assists in data mapping.*
*Updates existing BRDs and RRDs or create new BRDs and RRDs as required*
*Reviews, analyzes, and evaluates business processes for improvement or
enhancement as needed *
*Supports or leads the process of screening, framing and modeling ideas
that capture business requirements*
*Develops and executes test strategies, plans, scenarios, and tracks
resolution to identified defects. *
*Recommends promotion of software to production based on satisfactory test
results.*
*Defines and documents business and IT system processes and workflows.
Models AS-IS and TO-BE processes.*
*Defines and develops test plan documentation to support system validation
and/or User Acceptance Testing.*
*Conducts gap analysis and uses analytical skills to identify root cause
and assist with problem management.*
*Create analytical tools necessary to support Operational analysis.*
*Create, run and analyze standing and adhoc reports as required.*
*Knowledge/Skills/Abilities*
*Understands the basic concepts of project management according to PMBOK
and Project Management Lifecycle*
*Demonstrated understanding of Software Development Life Cycles (SDLC)*
* Intermediate level of knowledge in Microsoft applications (Word, Excel,
MS Project, PowerPoint, Visio) and SharePoint.*
*Ability to articulate an appropriate course of action based on reading
standard project documentation (charter, work plan)*
*Understanding of Medicare and Medicaid lines of business *
*Ability to document business analysis deliverables such as requirements,
workflow diagrams, and testing documentation*
*Ability to work independently as well as within a team*
*Attention to detail and accuracy*
*Ability to multi-task skills and prioritized workload*
*Excellent verbal and written communication skills*
*Maintain confidentiality and comply with Health Insurance Portability and
Accountability Act (HIPAA)*
*Ability to establish and maintain positive and effective work
relationships with coworkers, clients, members, providers and customers*
*Required Education:*
* Associate’s Degree or equivalent
experience
*
*Required Experience:*
*6+ years’ experience with increasing responsibilities as a business
analyst *
*4+ years’ experience with health care payer organizations*
*Experience as a lead BA or Sole BA on a team*
*Preferred Licensure/Certification:*
* CBAP/CCBA or PMI-PBA certification a plus*
* Preferred Experience:*
*4+ years of managed care experience*
*Healthcare Payer experience*
*2+ years exposure to utilization management, care management and/or
disease management *
*Demonstrated expertise in a variety of concepts, practices, and procedures
applicable to utilization management, care management and/or disease
management functional areas *
--
Best Regards,
Samarth Mishra
[email protected]
201 620 9700x125
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