Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Business Analyst - Guidewire (Claims Center)

$64k - $147.25k

Emergent Holdings, Inc.

The Senior Business Analyst is responsible for ensuring that business requirements are documented, and every functional/business consideration is identified before implementing each project. This position must clearly understand and review/confirm with the client and internal departments before functional requirements are finalized - alternative approaches are suggested where viable.The Senior Business Analyst is also responsible for functional requirements that are completely documented and understood, along with innovative solutions with best practices identified and explored for most prevalent use cases.Consultant to business units and technical teams for detailed data availability, location, lineage, and quality. Works within the Development Life Cycle. Ensures delivery according to project timelines.Coordinates with stakeholders to define go-live activities. Tracks progress performs follow-up communication, and documents resolutions to maintain project timelines. Analyzes possible impacts to the schedule for requested changes and makes updates as needed to the project timeline within reason. Develops and executes presentations. Prepares and documents workgroup meetings and presentations.Facilitates meetings (in person and online) and conference calls to orient new clients, collaborate with internal and external stakeholders, and address concerns. Works with the project manager to manage the project plan. Provides tasks, dates, and resource responsibilities based on the scope of the project. Provides statuses to work in progress and completed tasks. Creates functional specifications. Collects, understands, and transmits business requirements for projects and translates into functional specifications, database designs, and detailed test plans. Works with client to understand requirements.Partners with clients to gather all requirements to formulate business process specifications and translate those into application and/or operational functionality, understanding the value proposition(s) of the project and deciding when to advocate and when to compromise to arrive at mutually acceptable solutions. Works with technical staff to translate requirements.Assists the technical team in translating application functionality into application architecture and the production of system functionality documents. Communicates business directives, goals, and needs to the technical team and serve as a client interface for managing user expectations and client satisfaction. Works with operational business staff to translate requirements. Assists the operations team(s) in updating documentation and processes to accommodate the products offered. Communicates business directives, goals, and needs to the business team and serves as a client interface for managing user expectations and client satisfaction. Manages development life cycle. Creates and/or updates project documentation.Documents objectives, decisions, accomplishments, and deliverables for the work stream. Places documentation on the internal storage mechanism (Confluence) to provide a written account of the project activities. Represents the business and/or project as the subject matter expert in the designated work stream. Manages projects and processes as required. Works with product team to stay abreast of overall product strategy, roadmap(s), and release management processes.

EDUCATION

Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE

Five years of relevant experience as a business analyst in healthcare or health insurance, Medicare, and commercial business lines, or related industry.

QUALIFICATIONS

Ability to manage multiple assignments and implement projects. Demonstrated excellence in a rapid environment, with the ability to gather requirements, communicate product design requirements, and achieve high-quality results within specified timeframes. Knowledge of, and the ability to apply, necessary software development practices and procedures. Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts and draw valid conclusions. Ability to comprehend the consequences of various problem situations and to refer them for appropriate decision making. Ability to design program logic, prepares test data, and test programs. Ability to review business requirements and compare to application for possible deviations from customer expectations. Excellent triage, troubleshooting and problem-solving skills. Experience working with multi-functional teams to perform complex data analysis, data mapping and support a variety of business intelligence, reporting, analytical and data visualization needs. Ability to make competent, independent decisions. Experience working with mainstream BI reporting systems, ETL data integration platforms, and data modeling tools. Thorough understanding of and ability to demonstrate the operational services. Ability to create data flow diagrams and data models, including use case, activity, and workflow diagrams using VISIO. Ability to convey pertinent information to operational and technical teams. Strong presentation and analytical/problem-solving skills Ability to work in both a structured and unstructured environment. Ability to support projects using a variety of project management methodologies (bimodal) Ability to learn how to define all levels of business and technology requirements. Strong communication and negotiation skills. Ability to work with and empower others on a collaborative basis to ensure success of unit team.

PAY RANGE:

“Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $64,00 and $147,250.” We are an Equal Opportunity Employer.We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract. #J-18808-Ljbffr Emergent Holdings, Inc.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Business Analyst - Guidewire (Claims Center) in New York, NY vacancy
  • A staffing company is seeking an experienced Business Analyst to support Guidewire ClaimCenter enhancements. This remote position involves collaborating with Claims, Development, and QA teams to improve workflows and ensure compliance. Ideal candidates have a strong background... 
    Claims
    Remote job

    Rylem Staffing

    New York, NY
    1 day ago
  • S2Tech is seeking a Senior Business Analyst for MMIS Claims Processing to drive modernization initiatives. The role requires deep expertise in MMIS claims and the ability to facilitate critical discussions with stakeholders while documenting business requirements. A successful... 
    Senior
    Claims
    Remote job

    S2Tech

    New York, NY
    3 days ago
  • Conduent seeks a Senior Business Analyst to lead the Claims module on MMIS health care projects. You will drive the claims process, analyze business requirements, designs and documentation, ensure quality, and coordinate with customers in a team setting. You will work... 
    Senior
    Claims

    Conduent, Inc.

    New York, NY
    4 days ago
  • Capitole seeks a Senior Business Analyst with strong Insurance experience to join an international project focused on motor claims management. You will translate business needs into clear requirements, model processes with BPMN, write user stories and acceptance criteria... 
    Senior
    Claims
    Freelance

    Capitole

    New York, NY
    4 days ago
  •  ...SaaS (Software as a Service) and BPaaS (Business Process as a Service), enabling health plans...  .... We are looking for a Business Analyst to support Subject Matter Experts (SMEs),...  ...Support business process analysis related to claims, enrollment, provider management, authorizations... 
    Senior
    Claims
    Flexible hours

    Helpware

    New York, NY
    1 day ago
  •  ...Kforce has a client that is seeking a Senior Guidewire ClaimCenter Developer. This is a primarily...  ...investing heavily in modernizing its claims technology platform. This is an opportunity...  ...applications that directly support business operations across the organization.... 
    Senior
    Claims
    Hourly pay
    Contract work
    Remote work

    Kforce Technology Staffing

    New York, NY
    2 days ago
  • Position Title: Senior Business Analyst Location: 318 Seaboard Lane, Ste. 110, Franklin, TN 37067 Company: Specialist Resources Global, Inc....  ...experience in Technical Business Analysis with Healthcare RCM (Claims). Conduct an aggregation of data into a Data Lake on AWS.... 
    Senior
    Claims
    Remote work

    eMids Technologies Inc.

    New York, NY
    1 day ago
  • $85.47k - $111k

    Senior Business Analyst - Claims module: Summary: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, perform analysis of business requirements, designs and develop documentation, ensures quality process... 
    Senior
    Claims

    Conduent, Inc.

    New York, NY
    4 days ago
  • $46.99k - $122.4k

     ...community at a time. Position Summary As a Senior Analyst - Business Analyticsyou will be part of a highly skilled team within the Aetna Testing Center of Excellence (TCOE) team focused on...  ...across healthcare benefits and claims platforms. As part of this role, you will... 
    Senior
    Claims
    Hourly pay
    Full time
    Temporary work
    Local area

    Cvshealth

    New York, NY
    1 day ago
  • $68.04k - $118.8k

    REMOTE Summary Of Position Develop/gather business requirements for queries needed to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs that will drive incremental value year over year. Analyze and interpret claims, payment... 
    Senior
    Claims
    Remote work

    EmblemHealth

    New York, NY
    4 days ago
  • Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us Known for “Delighting the Client” through performance, innovation, and an employee‑centric culture, S2Tech is a fast‑growing IT consulting company serving clients in over a quarter of the... 
    Senior
    Claims
    Work at office
    Remote work

    S2Tech

    New York, NY
    3 days ago
  • $92k - $105k

    The Senior Business Analyst on the Data Platform team serves as a high-impact contributor responsible for leading strategic data initiatives,...  ...unifying pre‑service authorization data with post‑service claims validation, we’re creating a transparent healthcare ecosystem... 
    Senior
    Claims
    Remote work
    Flexible hours

    Cohere Health

    New York, NY
    1 day ago
  • $77k - $202k

     ...Description & SummaryThe OpportunityAs a Guidewire AI Engineer Consultant, Senior Associate you will specialize in...  ...organizations improve policy, claims, and billing processes within our Advisory...  ...thinking, technical skills, and business context to deliver work that aligns... 
    Senior
    Claims
    Full time
    H1b

    PwC

    New York, NY
    4 days ago
  • $120k - $140k

    DescriptionKforce has a client that is seeking a Senior Guidewire ClaimCenter Developer. This is a...  ...investing heavily in modernizing its claims technology platform. This is an...  ...claims applications that directly support business operations across the organization.Why... 
    Senior
    Claims
    Remote work

    KForce

    New York, NY
    1 day ago
  • $38.52 per hour

     ...Senior Billing Specialist The Senior Billing Specialist is responsible for multiple components...  ...to ensure accurate and timely payment of claims and collection, and in analysis and...  ...' medical and emotional needs at the center of all treatment. The Health System includes... 
    Senior
    Claims
    Hourly pay
    Full time
    Traineeship
    Work at office
    Local area
    Shift work

    Mount Sinai Hospital

    New York, NY
    3 days ago
  • $100k - $143k

    Location Designation: Hybrid - 3 days per week Role Overview: The Business Analyst will play a foundational role on a newly formed Discovery...  ...policy administration, servicing, underwriting, billing, or claims processesExperience supporting large‑scale modernization or transformation... 
    Senior
    Claims
    Local area
    Immediate start
    3 days per week

    New York Life Insurance Company

    New York, NY
    15 hours ago
  • $77k - $202k

     ...Description & SummaryThe OpportunityAs a Guidewire Configuration Consultant, Senior Associate you will specialize in...  ...the Guidewire platform within our Business Application Consulting practice. As...  ...support policy administration, claims management, and billing for insurance... 
    Senior
    Claims
    Full time
    H1b

    PwC

    New York, NY
    3 days ago
  • $77k - $202k

     ...Description & SummaryThe OpportunityAs a Guidewire Configuration & Integration Consultant, Senior Associate you will develop and...  ...policy administration, claims management, and billing solutions...  ...and understanding of the broader business context within our Advisory practice... 
    Senior
    Claims
    Full time
    H1b

    PwC

    New York, NY
    4 days ago
  • $124k - $280k

     ...& SummaryThe OpportunityAs a Guidewire Technical Lead you will guide...  ...our Advisory practice. As a Senior Manager you will lead large workstreams...  ...draw on your knowledge of business application consulting and...  ...that support policy, claims, and billing operations, while... 
    Senior
    Claims
    Full time
    H1b

    PwC

    New York, NY
    4 days ago
  • Description The Senior Billing Specialist is responsible for multiple components of the billing process, including Accounts Receivable,...  ...Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.... 
    Senior
    Claims
    Full time
    Work at office

    Mount Sinai

    New York, NY
    1 day ago
  • Senior Product Manager - Data Center SwitchingThis role has been designed as ‘Hybrid’ with an expectation that...  ...Requirement Document (PRD) and Business Case to bring innovative and disruptive...  ...the credentials of any third party claiming to represent the company. Any... 
    Senior
    Claims
    Full time
    Work experience placement
    Work at office
    Local area
    Immediate start
    2 days per week

    Hewlett Packard Enterprise

    New York, NY
    1 day ago
  • Senior Distinguished Technologist - Pre-Sales AI & Data Center Networking This role has been designated as ‘Remote/Teleworker...  ...can influence both technical and business partners by translating...  ...credentials of any third party claiming to represent the company. Any reliance... 
    Senior
    Claims
    Full time
    Work experience placement
    Local area
    Immediate start
    Remote work
    Work from home

    Hewlett Packard Enterprise

    New York, NY
    3 days ago
  • $35 - $40 per hour

    Description Remote Our client seeks a Sr Business Analyst to support a large, multi-year Health Plan initiative. The role will elicit, analyze...  ...on healthcare plan operations including medical appeals, claims, and large plan implementations. Due to client requirements,... 
    Senior
    Claims
    Remote work

    Eliassen Group

    New York, NY
    4 days ago
  • $35 - $46 per hour

     ...We’re seeking an experienced Business Analyst to support enhancements and integrations within Guidewire ClaimCenter. In this role, you will work closely with the Claims, Development, and QA teams to...  ...such as Power BI (not required) Seniority level Associate Employment... 
    Claims
    Contract work
    Remote work

    Rylem Staffing

    New York, NY
    1 day ago
  •  ...execute upon their responsibilities. We are looking for a Senior Business Analyst that helps translate the requirements for the business teams...  ...Partner with UX/UI teams (or independently) to shape user-centered design solutions. Define end-to-end business processes,... 
    Senior
    Work at office

    B&H Photo Video

    New York, NY
    2 days ago
  • $110.8k - $138.5k

     ...fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy...  ..., Denver, CO or Charlotte, NC) Position Summary: The Senior Business Analyst supports the gathering and documentation of business and... 
    Senior
    Claims
    Remote job
    Local area
    Flexible hours
    Shift work

    Judi Health

    New York, NY
    15 hours ago
  • $77.2k - $96.5k

     ...Qualifications: ~ Bachelor’s degree in business, Accounting, MIS, Finance, or related field ~3+ years supporting or implementing Oracle...  ...and Wellbeing: Health, Dental, and Vision Care, Onsite Health Centers, Employee Assistance Program, Wellness program Financial... 
    Senior
    Full time
    Shift work

    World Wide Technology

    New York, NY
    23 hours ago
  •  ...experienced and detail-oriented Senior Accountant to join a...  ...non-profit community health center . Core Responsibilities...  ...expenditures, prepare financial claims/vouchers, and lead healthcare...  ...Accounting, Finance, or a related business discipline. Experience: Minimum... 
    Senior
    Claims
    Full time
    Contract work

    The Forum Group

    New York, NY
    23 hours ago
  • $84.4k - $156.8k

     ...drive operational efficiency.We are seeking an experienced Senior Insurance Business Analyst / Delivery Lead to support our DXC Assure Smart Apps...  ...processes, including policy administration and servicing, claims, billing, underwriting, broker operations, and customer servicing... 
    Senior
    Claims
    Minimum wage
    Full time
    Contract work
    Flexible hours

    DXC Technology

    New York, NY
    15 hours ago
  •  ...Senior Discovery Business and System Analyst Employment Type: Full-Time, Executive-Level Department: Legal   CGS is seeking a dedicated Senior...  ...marketing materials from industry solution providers that claim to satisfy the identified business requirements;  -... 
    Senior
    Claims
    Full time
    For contractors
    Work at office
    Flexible hours

    cgsfederal

    New York, NY
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Business Analyst - Guidewire (Claims Center). Be the first to apply!