Job Title: Sr. Business System Analyst Location: Newark, NJ Duration: 7+ Months Note: Only local to NJ/NY/CT candidates please
Job Description:
Resource will have direct interaction with Senior IT Leadership, Operational Business Owners, third party development vendors, and internal IT development departments.
The Resource must have exceptional communication skills. He/She must be able to effectively convey verbal and written information in a clear and concise manner. Resource must be self-motivated with a high regard for accountability of their work and able to motivate stakeholders to drive outcomes. Will require a proven ability to organize, lead, and execute necessary decisions while operating under pressure in complex situations. The individual must be a resourceful team player and excel at building trusted relationships with stakeholders. Dependable, responsible contributor committed to excellence and success.
Extensive knowledge and business acumen of the health insurance industry. Optimal resource will have experience in Healthcare Lines of Business, Products, Claims Processing, Claims Pricing, EDI and Mandates experience.
Primary deliverables and activities for this position may include, although not limited, to the following
Business Requirements Documents
Technical Requirements Documents
Requirements Traceability Matrix
Gathering and preparing solution based estimates
Use Cases
Test Plans/Test Cases
Activity Diagrams
Process Flows
High Level Solution Diagrams (short of architecture)
Gap Analysis
Defect/Root Cause Analysis
Conducting JAD sessions
UML
Data Mapping Documents
Required experience:
5–7 years of experience as a lead business system analyst is required
4+ years of experience in the health insurance industry is required.
Should be experience in Claims Processing and Claims Pricing
Should be experience in Healthcare Products and Benefits
Should be extremely proficient EDI (834 Claim Enrollment Transactions)
Should have experience working in large scale application migration/implementation projects.
NASCO experience preferred
Knowledge of federal exchange
Portal knowledge preferred
Required skillset
Excellent Communication skills
Excellent Soft skills
Excellent BSA skills
Preferred:
Excellent Communication and presentation skills.
Prior experience working in a group setting.
Prior experience working in a challenging, fast paced, high pressure environment
NASCO experience
Experience working on Portals preferred
Experience with working in multi-vendor environment is preferred
