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New York, United States Quantix Full time

Title: Sr. Healthcare Payer Business Analyst
Location: 100% Remote
Hours: 9:00 - 6:00 Eastern
Type: Contract
Duration: 9 - 24 months
Laptop: Provided

About the Role
We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new product & services. The ideal candidate will have worked in-depth for top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider Portals/Service, Clinical & Care management, Funding & Billing, Reporting). This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.

Essential Qualifications

  1. Client Facing acumen, ability to lead Requirements sessions in the healthcare payer industry.
  2. Minimum 6-7 years of experience as a business analyst in healthcare payer industry (Commerical/TPA).
  3. Multi-employer experience
  4. Expertise and experience in preparing High Level requirements, Use Cases, Business Requirement Documents, Functional specifications, Test strategy & cases and Traceability matrix.
  5. Proven ability to map business process and workflows, conducting gap analysis and documenting requirements, ensuring requirements are developed and tested.
  6. Excellent verbal/written communication skills; comfortable leading business and technology teams within the organization to translate business issues & requirements into technical solutions.
  7. Healthcare Insurance Payer in one of more of the following areas: Claims Administration, Enrollment & Eligibility, Benefit Administration, Contribution Accounting, Billing & Payment, Member, Provider and Employer facing portal/service.