Business Analyst

Position : Sr. Business Analyst with Claims Location : Rosemont, IL, Remote (monthly 2days office) need Locals Experience : 7+yrs Visa : GC, GCEAD, USC, H4EAD Tax Term : W2 Responsibilities : • Develop strategies to meet first pass resolution benchmarks and improve claims processing accuracy. • Collaborate with IT teams to translate business needs into functional specifications for system enhancements. • Analyze claims data to identify trends and bottlenecks, providing actionable insights for process improvements. • Lead elicitation and documentation of business requirements for claims transformation projects and system enhancements and for Facets configurations for accurate claims adjudication. • Ensure technical solutions align with business goals and regulatory requirements. • Collaborate with compliance teams to audit processes and develop risk mitigation strategies. • Lead Agile ceremonies and use Azure DevOps (ADO) to manage backlogs, sprints, and work item tracking. • Gather information to prioritize user stories related to claims enhancements and system configurations with steering committee and teams. • Act as the primary liaison between business units, IT teams, and leadership to align goals and initiatives. Qualifications : • 7+ years of prior experience as a Business Analyst or other IT role, such as support or development. • BA / BS in IT, statistics, computer science, mathematics, information management, or a related field or equivalent experience. • Strong investigative, analytical skills. • Interpersonal communication skills with the ability to work independently or as part of a team with both the Business and technology staff. • Skilled at defining and documenting business and functional requirements for ongoing system enhancement initiatives in agile software development environments. • Experience writing clear acceptance criteria to a testable level. • Experience with EDI file formats and other proprietary data exchange formats. • Experience leading or participating in all Agile meetings including sprint planning, sprint grooming, review, demo, stand-up, and retrospective sessions. • Experience in all phases of product, software, and testing lifecycles. • Clear and concise verbal and written communication skills. • Microsoft Office experience: Word for documentation, Excel for data handling, excellent skills with Visio for diagrams, PowerPoint for presentation and Outlook for email. • Firm understanding of relational databases, database structures and design, and data management. • Solid SQL knowledge, experience writing investigative queries, firm understanding of joins. • 3+ years of experience in healthcare and or with claims adjustment software. • Experience with Facets is a plus. Preferred Qualifications : • Ability to become a Subject Matter Expert on various healthcare, insurance, pension, and/or payroll technology systems. • Experience working on different project types, such as off-the-shelf, new development, enhancements projects. • Experience with Azure DevOps • General knowledge of databases, applications, system interfaces, and operating systems. • Knowledgeable in SDLC, Agile and/or Waterfall methodologies.