Consultant - Business Analyst

<p>Looking for a Business Analyst with overall understanding on US Healthcare Payer industry with experience in production support domain. The candidate must have hands on experience in requirement gathering, solution, design & implementation along with basic understanding of Java and SQL.<br /><br />Primary Skill: BA<br />Secondary Skill: SQL, Java<br /><br /><b><u>Qualification</u></b>:</p><p>

• Bachelor’s degree or equivalent combination of education and experience </p><p>
• 6 to 9 Years of Business Analyst or Product Specialist experience in US Healthcare Payer industry.</p><p>
• Knowledge on business process flow primarily in the Provider domain along with various sectors within the industry such as enrollment, billing, claims, benefits, utilization management</p><p>
• Good interpersonal skills and excellent communication skills</p><p>
• Strong analytical skills with ability to collect, organize and analyze data using SQL, Java<br /><br /><b><u>Roles and Responsibilities</u></b>:</p><p>
• Prepare and delivery data driven solutions for customer challenges.</p><p>
• Proactively engage with stakeholders on requirements elicitation</p><p>
• Effectively document design into a high-level process workflow.</p><p>
• Translate business requirements, develop business cases and recommend solutions.

Be focused and drive best practices through business processes knowledge.</p><p>

• Perform research and analysis to identify business problems and ability to breakdown complex business issues to come up with solutions through extensive data and system analysis.</p><p>
• Identifies and flags PHI data elements in all requirements documentation; understands basic healthcare IT domain concepts</p><p>
• Manages stakeholder expectations; communicates requirement changes with impact assessment; leads UAT with clear scenarios</p><p>
• Experience in handling tickets, specifically Incident and Routine maintenance</p><p>
• Ability to work in Production support environment<br /><br /><b><u>Requirements:</u></b><br /><b>Must Have</b>:</p><p>
• Sound knowledge of Provider management and current US federal and state laws with regards to healthcare governance and policies, and preferable to have PAHM 250 certification or working towards certification </p><p>
• US Healthcare IT (advanced), HIPAA Business Process Governance, Highmark Business Context</p><p>
• Good communication & Analytical skills</p><p>
• Basic technology understanding in Java, SQL and XML, Web Services.</p><p>
• Good understanding and working experience on the SDLC, Experience in Agile/Scrum practices.</p><p>
• Ability to liaison between lines of business and the development team, while working with a wide range of stakeholders and collaborating with team.</p><p>
• Should have the fundamentals of requirement gathering, elicitation, documenting, and transition over to internal and external stakeholders</p><p>
• Ability to work in 3 pm – 12 am shift<br /><br /><b>Good to Have</b>:</p><p>
• Exposure to US Clients would be an added advantage.</p><p>
• Java basic understanding and Ability to write basic SQL’s</p>