Senior Consultant - BA with Claims
Thryve Digital · Remote
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Collected role description
<p class="MsoNormal" style="margin-left:0.25in;"><b><span style="font-size:11pt;line-height:115%;">Role: Senior Business Analyst (US Healthcare) </span></b></p><p><b></b></p><b></b><p class="MsoNormal" style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">We are seeking a highly experienced Business Analyst with strong expertise in the US Healthcare domain to join our team. The ideal candidate will collaborate closely with business stakeholders across multiple plan areas (HMK, MN, ND, WY) to identify business needs, drive requirement analysis, and support strategic initiatives. </span></p><p></p><p class="MsoNormal" style="margin-left:0.25in;"><b><span style="font-size:11pt;line-height:115%;">Role Summary: </span></b></p><p><b></b></p><b></b><p class="MsoNormal" style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">We are seeking a skilled and motivated Business Analyst with US healthcare experience to join our Customer Service Product Engineering team. The Business Analyst acts as a crucial link between business needs and technology solutions focused on improving customer service within the US healthcare landscape. The ideal candidate has strong analytical abilities, excellent communication and interpersonal skills, and a solid understanding of business operations and IT systems.</span></p><p></p><p class="MsoNormal" style="margin-left:0.25in;"><b><span style="font-size:11pt;line-height:115%;">Responsibilities: </span></b></p><p><b></b></p><b></b><ul><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Collaborate with stakeholders to identify business needs, gather detailed requirements, and define project objectives and scope. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Translate business needs into clear and well-structured requirements documentation, including business requirements documents (BRDs), functional requirements specifications (FRS), user stories, and use cases.Analyze and document current state processes and identify areas for improvement </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Lead intake process requirement analysis, ensuring clarity, completeness, and alignment with business goals Apply Lean Intake Analysis (Lean IA) Principles to streamline processes and improve efficiency Elicit, analyze, and document detailed functional and non-functional requirements. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Collaborate with product owners, developers, and testers to ensure a clear understanding of requirements.</span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Participate in testing and validating new systems and processes, including user acceptance testing (UAT), to ensure they meet specified requirements and quality standards. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Participate in project meetings and provide regular updates on progress.</span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Prioritize requirements and communicate findings and recommendations effectively. Identify and mitigate project risks and issues, escalating appropriately and providing recommendations and solutions to resolve them. </span><p></p></li></ul><p class="MsoNormal" style="margin-left:0.25in;"><span style="font-size:11pt;line-height:115%;">Required Skills & Experience: </span></p><p></p><ul><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Extensive experience as a Business Analyst in the US Healthcare domain</span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Strong understanding of healthcare processes, payer operations, and regulatory considerations</span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Expertise in intake frameworks, requirement gathering, and process optimization Experience working with Lean methodologies (Lean IA preferred) </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Excellent stakeholder management and communication skills </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Ability to work across multiple business units and manage complex requirements </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Qualifications Required:</span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Proven experience (typically 8 to 12 years of experience) in Business Analysis, preferably within the US healthcare industry. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Strong analytical and problem-solving skills. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Excellent communication, interpersonal, and presentation skills. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Proficiency in using business analysis tools and techniques. Ability to work independently and as part of a team. </span><p></p></li></ul><p class="MsoNormal" style="margin-left:0.25in;"><b><span style="font-size:11pt;line-height:115%;">Preferred (but not mandatory)</span></b><span style="font-size:11pt;line-height:115%;">: </span></p><p></p><ul><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Experience in customer service or benefits administration of US Healthcare. Experience working with Pega/Java applications. </span><p></p></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Familiarity with Agile development methodologies.</span></li><li style="margin-left:0.25in;text-align:justify;"><span style="font-size:11pt;line-height:115%;">Shift/Week off: Yes</span><p></p></li> </ul>
Collected experience requirement
9 - 12 Years