Business Analyst

Found in: Appcast US C2 - 2 weeks ago


Louisville, United States Royal Cyber Inc. Full time

Company Description

Royal Cyber is a global digital technology partner for forward-thinking enterprises. With a focus on cutting-edge technologies such as ServiceNow, Mainframes modernization, Cloud services, Data Analytics, GenAI, Watson, IoT, ChatBoT, BPM, DevOps, B2Bi, and Mobility, Royal Cyber helps organizations streamline operations and compete in the global marketplace. Headquartered in Chicago, Illinois, we have a global presence with offices and development centers across North America, Asia, Europe, Africa, and the Middle East.


Role Description

This is a full-time role for a Business Analyst - Healthcare (STAR CMS/HEDIS). The Business Analyst will be responsible for analyzing data, documenting business processes, gathering and documenting business requirements, and communicating with stakeholders. This role is located in Louisville, KY and requires on-site work.


Qualifications

  • Analytical Skills and Business Analysis
  • Excellent Communication skills
  • Experience in Business Process analysis and documentation
  • Ability to gather and document Business Requirements
  • Knowledge of Healthcare industry and STAR CMS/HEDIS is a plus
  • Experience with Agile methodologies is beneficial
  • Strong problem-solving and critical-thinking skills
  • Working understanding of healthcare:\
  • Understanding the importance of Provider NPI
  • Define the connectivity between Member ID, Patient ID and Payer CCN (Claim Control Number)
  • Understanding of how payments and adjustments are made, in Encounters, especially the 837 Healthcare Claim
  • Overall understanding of the flow of claims from Provider-to-Payer; adjudication; and from Payer to CMS for Encounters.
  • Working knowledge of how to build User Stories
  • Experience with Agile / Scrum
  • For this current client, an understanding of how Medicare Advantage works is very important, especially for a BA.
  • Ability to work with Off-Shore Teams
  • Ability to work with both technical and non-technical personnel.


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