iSoftTek Solutions Inc

Enterprise Business Analyst, Product & Technology

iSoftTek Solutions Inc

contract

Posted on:

Origin:  • 🇺🇸 United States • New York

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Job Level

SeniorLead

Tech Stack

PMP

About the role

  • Interface with senior leaders and stakeholders, both Business and Technical across different workstreams and shared services commonly found in TPAs (Eligibility, Reporting, Benefits, Finance, Information Technology, Networks)
  • Use your solid business understanding of Benefits and Networks to advance client needs and the Brighton business
  • Work with business and solution delivery owners to define and document requirements for assigned products and services; write user stories, acceptance criteria, feature description decks, process flows; manage traceability and UAT
  • Maintain a solid knowledge base of functional and system capabilities of areas and products within the assigned product portfolio
  • Work with stakeholders and product teams to drive consensus on scope, design and implementation decisions
  • Provide analysis and impact to users and business for changes to current functionalities and apply critical thinking skills to meet business needs
  • Develop and integrate requirements management into the delivery approach and schedule; assist product quality with cogent requirements and processes
  • Participate in presentation of information to customers and internal business and/or IT teams
  • Create business, product and third party vendor specifications for product integration and implementation
  • Advance products in a TPA model for self-funded clients

Requirements

  • Experience : 15+ Years MUST
  • Minimum 7 years of experience as a Senior Business Analyst or Product Specialist in healthcare payer onboarding new self-funded clients or implementing product in Health Plan Administration
  • Healthcare Payer, Healthcare Administrator, Third party Administrator (TPA), Blue Card, Benefits & Claims Administration, Vendor integration – Required in recent projects
  • Expertise in preparing High Level requirements, Use Cases, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix
  • Proven ability to map business processes and workflows, conduct gap analysis and provide requirements
  • Experience developing and updating business process enhancements
  • Documenting requirements and ensuring requirements are developed and tested
  • Excellent verbal and written communication skills; comfortable leading business and technology teams to translate business issues into technical solutions
  • Healthcare Insurance Payer experience in Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Billing & Payment, Member/Provider/Employer facing portals/services
  • Strong analytical and problem-solving skills
  • Proficient with Word, Excel, PowerPoint, Visio
  • Knowledge of BA/MS project tools: JIRA, MS Project, Excel, Visio
  • Self-motivated, detail-oriented, flexible and willing to learn
  • Bachelor's degree or equivalent experience; BA certifications and/or PMP a plus
  • Interface with senior leaders and stakeholders across workstreams and shared services (Eligibility, Reporting, Benefits, Finance, IT, Networks)
  • Ability to write user stories, acceptance criteria, feature description decks, process flows, manage traceability and UAT