HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
Senior Business Analyst
🕒 July 14
🇺🇸 United States – Remote
💵 $120k - $140k / year
⏰ Full Time
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
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HealthEdge
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
📋 Description
• Leading business requirement conversations with customer and internal teams • Managing the end-to-end requirements involving all the stakeholders • Responsible for developing business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems • Collaborate with business users, management, IT, and offshore staff to ensure the finish product meets project objectives and client expectations • Identify opportunities for automation, performance improvements, reusability
🎯 Requirements
• 10+ years of relevant work experience in business analysis • Knowledgeable in Healthcare insurance domain (Medicare, Medicare Advantage, Medicaid, ACA or Commercial) • Experience documenting requirements or user stories • Experience in analysing the business requirements and translating/mapping them to technical requirements in EDI technology • Bachelor’s degree or higher in business or technical field
🏖️ Benefits
• Health insurance • Flexible working hours • Professional development opportunities • Remote work options
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