Senior Business Analyst (Insurance/TPA background in Health, Annuity and Life)

Overview Senior Business Analyst (Insurance/TPA background in Health, Annuity and Life) Location: Piscataway, NJ (Hybrid 3 days a week from day 1) Duration: 24 months. Number of positions: 1 Position type: W2 contract. Job Summary We are seeking an experienced Senior Business Analyst with deep expertise in Long-Term Care (LTC) insurance Third Party Administration (TPA) to join our dynamic team. The ideal candidate will have a thorough understanding of LTC policy terms , claim adjudication processes, and US regulatory requirements. This role requires excellent communication skills to collaborate effectively with cross-functional teams and stakeholders while adhering to Agile/Scrum methodologies. The Senior Business Analyst will play a pivotal role in bridging the gap between business needs and technical solutions, ensuring seamless delivery of LTC-specific systems and processes. Responsibilities Domain-Specific Expertise and Analysis: Analyze and interpret LTC insurance policy terms, benefit structures, claim adjudication guidelines, and compliance with US regulations. Conduct in-depth gap analysis to identify inefficiencies and improvement opportunities in LTC claims adjudication and benefit management processes. Assist in the development and validation of automated workflow solutions for LTC claims processing and benefit determinations. Facilitate the integration and rigorous testing of LTC-specific claims systems and third-party vendor platforms. Support customization and configuration of LTC policy rules to meet diverse client requirements. Serve as the principal liaison for domain-specific training, documentation, and knowledge transfer to internal teams and external stakeholders. Requirements Gathering And Documentation Elicit, analyze, and document comprehensive business, functional, and non-functional requirements specific to the LTC insurance domain. Develop clear process flow diagrams, use cases, wireframes, and other visual aids to effectively communicate requirements. Prepare detailed requirement traceability matrices to ensure alignment and coverage throughout the project lifecycle. Stakeholder Communication & Agile Collaboration Facilitate effective communication between business stakeholders, product owners, and technical development teams to foster clear understanding and consensus on project requirements. Lead stakeholder interviews, collaborative workshops, and requirement gathering sessions to capture evolving business needs. Actively participate in Agile ceremonies including sprint planning, daily stand-ups, sprint reviews, and retrospectives. Manage change requests with thorough analysis, documentation updates, and communication to all relevant parties. Provide ongoing support, training, and user adoption strategies post-implementation. Quality Assurance & Testing Support Collaborate with QA teams to define test cases informed by business requirements. Support system integration testing and user acceptance testing phases. Assist in defect triage, tracking, and resolution to ensure quality deliverables. Project Management Support Contribute to project planning activities including scope definition, risk assessment, and timeline estimation. Monitor project progress and provide status updates to leadership and stakeholders. Continuous Improvement & Best Practices Stay current with industry trends, emerging technologies, and best practices in LTC insurance and business analysis. Recommend process and system enhancements to improve operational efficiency, compliance, and customer satisfaction. Qualifications Proven experience as a Business Analyst in the LTC Insurance TPA domain with strong knowledge of US regulations. Demonstrated ability to interpret LTC policy language and claims adjudication processes. Proficient in Agile/Scrum methodologies with experience working in functional and cross-functional teams. Exceptional communication skills, capable of effectively engaging with technical teams and business stakeholders at all levels. Strong analytical thinking with proficiency in creating process flows, use cases, and wireframes. Experience supporting testing activities (system, integration, UAT). Adept at managing requirements traceability, change management, and stakeholder expectations. Ability to serve as a domain expert and trainer for LTC insurance processes LOMA and CBAP certifications #J-18808-Ljbffr Accord Technologies Inc