Business Analyst

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $100k - $120k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🧐 Business Analyst

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

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 customers and internal teams • Responsible for developing business and functional requirements for Claims, Enrollment, Provider, Authorization, Payment systems • Collaborate with business users, management, IT, and offshore staff • Produce the Requirements plan that aligns with the overall Project Implementation plan

🎯 Requirements

• 10+ years of relevant work experience in business analysis • Knowledgeable in Healthcare insurance domain (Medicare, Medicare Advantage, Medicaid, ACA or Commercial) • Excellent requirement elicitation and communication skills • Experience documenting requirements or user stories • Experience working in an onshore/offshore model • Familiarity with SQL, XSDs is a plus

🏖️ Benefits

• Competitive salary • Flexible work hours • Professional development opportunities