Business Analyst (Healthcare)

Job Details Position: Business Analyst (Healthcare) Location: Remote (Westbury, NY, Locals Preferred) Duration: Long Term About R Systems R Systems is a leading digital product engineering company that designs and develops chip-to-cloud software products, platforms, and digital experiences that empower its clients to achieve higher revenues and operational efficiency. Our product mindset and engineering capabilities in Cloud, Data, AI, and CX enable us to serve key players in the high-tech industry, including ISVs, SaaS, and Internet companies, as well as product companies in telecom, media, finance, manufacturing, and health verticals. We Are Great Place to Work Certified in 10 countries with a full-time workforce [India, USA, Canada, Poland, Romania, Moldova, Indonesia, Singapore, Malaysia & Thailand]! We are recognized as one of the Best Tech Brands 2024 by the Times Group and India's Top 500 Value Creators 2023 by Dun & Bradstreet. Company Link Job Requirement: Mandatory Skills (Required in recent projects): Healthcare Payer, Healthcare Administrator, Third party Administrator (TPA), Blue Card, Benefits & Claims Administration, Vendor integration About This Role We are seeking an enthusiastic, results-oriented Enterprise Sr. Business Analyst/Product Specialist in the healthcare payer domain of Health Plan administration of self-funded clients who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product. The ideal candidate will have worked in-depth in healthcare payer domain or Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) and Healthcare Networks space. This person must possess a blend of business (most important) and technical savvy as well as effective communication skills to collaborate with internal and external stakeholders. This resource should have demonstrable experience in advancing products in a TPA model. Job Responsibilities • Interface with senior leaders and stakeholders, both Business and Technical across different workstreams and shared services commonly found in TPA s (i.e. Eligibility, Reporting, Benefits, Finance, Information Technology, Networks, etc.) • Use your solid business understanding of Benefits and Networks to advance client needs and the Brighton business. • You will work with business and solution delivery 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 and system capabilities of the various areas and products within the assigned product portfolio. • You will work with stakeholders and product teams to drive consensus on scope, design and implementation decisions. • Provides analysis and impact to user and business for changes to current functionalities and applies critical thinking skills to meet business needs. • Develop and integrate requirements management to the delivery approach and schedule; Assist product quality with cogent requirements and processes. • Participate in the presentation of information to customers and internal business and or IT teams. • Creates business / product / third party vendor specifications for product integration and implementation. Essential Qualifications & Skills • Minimum 7 years of experience as a Senior Business Analyst or Product Specialist in healthcare payer in onboarding new self-funded clients or implement product in Health Plan Administration • 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 processes and workflows, conducting gap analysis and providing requirements. • Has experience developing and updating business process enhancements. • 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 or more of the following areas covering business & technology : Enrollment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service • Strong analytical and problem-solving skills; 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, Excel, Visio • 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 • Blue Card experience is must Why Join R Systems? • Frequent Internal Hackathons: Engage in dynamic competitions with exciting prizes to keep your skills sharp. • Cultural Celebrations: Strengthen our familial bonds through shared celebrations, fostering a sense of community. • Diverse Project Exposure: Work on a variety of projects across sectors like Healthcare, Banking, e-commerce, and Retail, collaborating with leading global brands. • Centre of Excellence (COE): Benefit from technical guidance and upskilling opportunities provided by our team of technology experts, helping you navigate your career path. • E-Learning Platform: Gain access to comprehensive e-learning platforms coupled with a robust mentorship program to enhance your skills. • Open Door Policy: Embrace a culture of mutual support, respect, and open dialogue, promoting a collaborative work environment. If you are passionate and excited about working in a fast-paced, innovative environment, we would love to hear from you! R Systems is an equal opportunity employer that does not discriminate against any employee or job applicant because of race, color, religion, national origin, sex, physical or mental disability, age, or any other characteristic protected by law. We strive to build a team that reflects the diverse communities we serve, and we actively encourage applications from individuals of all backgrounds and experiences. Our commitment to equal opportunity extends to all aspects of employment, including recruitment, hiring, training, promotion, and benefits. Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity. • Dice Id: rsystems • Position Id: 8740263