Senior Enterprise Business Analyst

Senior Enterprise Business Analyst Full time
100% Remote, support the Westbury, NY office

We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate
effectively with internal and external stakeholders to analyze, define and manage requirements to launch
new product & services. The ideal candidate will have worked in-depth for top payers across one or more
domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider
Portals/Service, Clinical & Care management, Funding & Billing, Reporting). This person must possess a
blend of business and technical savvy; strong communication skills to collaborate across internal and
external stakeholders.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities and activities may change, or new ones may be assigned at any time with or without
notice.
Things that are needed
• Must be flexible in approach to problems.
• Within the Last 5 years should have Payer Implementation experience with large clients
• Need client facing skills on large programs
• Operations experience is a plus only, must have TPA/Payer besides this
• PBM experience is a plus only, must have TPA/Payer besides this
Primary Responsibilities
• You will work with business and solution owners to define and document requirements for the
assigned products and services, as well as write user stories, acceptance criteria, feature
description decks, process flows, manage traceability and UAT.
• You will maintain a solid knowledge base of the functional capabilities of the various areas and
products within the assigned product portfolio.
• You will use agile methods to analyze, define and document requirements and manage traceability.
You will work with stakeholders and product teams to drive consensus on scope, design and
implementation decisions.
• Provide analysis and impact to user and business for changes to current functionalities and applies
problem solving skills to meet business needs.
• Develop and integrate requirement management to the delivery approach and schedule; you will
also be responsible for product quality, project timeliness, and customer satisfaction.
• Participate in the presentation of information to customer and internal business and or IT teams.
• Creates business / product / third party vendor specifications for product integration and
implementation.
Essential Qualifications
• Client Facing acumen, ability to lead Requirements sessions in the healthcare payer
industry.
• Minimum 6-7 years of experience as a business analyst in healthcare payer industry.
• Expertise and experience in preparing High Level requirements, Use Cases, Business
Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.
• Proven ability to map business process and workflows, conducting gap analysis and documenting
requirements, ensuring requirements are developed and tested.
• Excellent verbal/written communication skills; comfortable leading business and technology teams
within the organization to translate business issues & requirements into technical solutions.
• Healthcare Insurance Payer in one of more of the following areas: Claims Administration,
Enrollment & Eligibility, Benefit Administration, Contribution Accounting, Billing & Payment,
Member, Provider and Employer facing portal/service.
• Ability to analyze problems and resolve issues through resolution quickly and methodically.
• Proficient with Word, Excel, and PowerPoint, Visio.
• Knowledge of BA/ MS project Tools, JIRA, MS Project
• Self-motivated and detail oriented.
• Flexibility to adapt to change and willing to learn and develop new skill sets as applicable.
• Bachelor's degree or equivalent experience.
• BA Certifications and or PMP a plus.