Pursue Your Passion with Purpose
MDA Edge
Business Analyst Claims Payment SME
We are seeking an experienced Business Analyst Claims Payment SME with a strong background in commercial claims, payment processes, and Agile methodologies. The ideal candidate will be responsible for requirements gathering, process mapping, and solution definition for a global claims payment environment. This role involves close collaboration with business stakeholders and IT teams to optimize payment workflows and enhance operational efficiency.
Key Responsibilities:
- Lead Requirements Workshops Independently facilitate sessions with business and IT stakeholders.
- Process Mapping & Solution Definition Analyze current state payment workflows and define optimized target state solutions.
- Claims Payment System Enhancements Work with Payment Hub (One Inc) and other platforms to enhance claims payment processes.
- Documentation & Change Management Develop business requirements, process documentation, and ensure alignment with change management procedures.
- Stakeholder Collaboration Work closely with business liaisons, treasury teams, and IT departments to determine payment process requirements.
- Business/IT Workshops, Demos, and UAT Drive engagement efforts for system improvements and operational efficiency.
- Claims Payment Lifecycle Knowledge Bring expertise in insurance claims payment processing, payment channels, disbursements, payee information platforms, and master data management.
- Compliance & Standards Ensure adherence to industry regulations and organizational policies while handling end-to-end requirements.
- SQL & RDBMS Expertise Utilize strong database knowledge to optimize claims payment workflows.
Required Qualifications:
- 7+ years of experience in Agile Way of Working
- 10+ years of experience in Commercial Claims & Claims Payment workflows
- Payment SME with deep expertise in insurance claims payment processing
- Pega CBA Certified or experience in Pega Payment workflows (preferred)
- AGILE Certified Product Owner
- Strong SQL and RDBMS knowledge
Preferred Skills:
- Familiarity with One Inc Payment Hub
- Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance
- Strong communication and interpersonal skills
- Ability to multitask, prioritize deadlines, and work independently
Vacancy posted 2 days ago
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