iSoftTek Solutions Inc

Enterprise Business Analyst – Product & Technology

iSoftTek Solutions Inc

contract

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Origin:  • 🇺🇸 United States • New York

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Job Level

SeniorLead

Tech Stack

PMP

About the role

  • Interface with senior leaders and stakeholders across Business and Technical workstreams common to TPAs (Eligibility, Reporting, Benefits, Finance, IT, Networks)
  • Use business understanding of Benefits and Networks to advance client needs and Brighton business
  • 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 within the assigned product portfolio
  • Work with stakeholders and product teams to drive consensus on scope, design, and implementation decisions
  • Analyze and communicate impact of changes to users and business; apply critical thinking to meet business needs
  • Develop and integrate requirements management into delivery approach and schedule; assist product quality with requirements and processes
  • Present information to customers and internal business or IT teams
  • Create business/product/third-party vendor specifications for product integration and implementation
  • Advance products in a TPA model and collaborate on vendor integrations and portals

Requirements

  • 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 Health Plan Administration products
  • Mandatory Skills: 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
  • 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 and detail-oriented
  • Flexibility to adapt to change and willingness to learn and develop new skill sets
  • Bachelor's degree or equivalent experience; BA certifications and/or PMP a plus