Position : HealthCare Business Analyst Team Lead
Location : Long Island, NY (Onsite & local only)
Term : C2C/W2 role
Exp. : 12+ Years
Job Description :
Key Responsibilities:
Requirements Gathering & Analysis : Collaborate with stakeholders, including business units, technical teams, and clients, to gather and document detailed business requirements for health insurance systems, applications, and processes.
Business Process Modeling : Analyze current business processes and propose process improvements to optimize efficiency, reduce costs, and enhance service delivery within the health insurance domain.
Solution Design & Implementation : Work closely with technical teams to translate business requirements into functional specifications, user stories, and system designs, ensuring alignment with industry standards and regulatory compliance.
Testing & Quality Assurance : Support the testing process by ensuring business requirements are correctly implemented, validating system functionality, and conducting user acceptance testing (UAT).
Training & Support : Provide training to team, prepare workflows, and process changes. Support the client through post-implementation phases.
Stakeholder Engagement : Serve as the primary point of contact between the client and development teams to ensure all requirements are fully understood and addressed in system designs and solutions.
Continuous Improvement : Identify opportunities for process and system improvements within the organization and recommend actionable solutions for better health insurance service delivery.
Onshore-Offshore Model Collaboration: Work effectively with both onshore and offshore teams to manage project delivery, ensuring seamless communication, coordination, and alignment across time zones to meet project milestones and deadlines.
Required Skills and Qualifications:
Experience : 12-15 years of experience as a Business Analyst in the health insurance systems and billing/payment systems. Payers and Claims, Enrollment and Benefits administration.
Technical Skills : Proficiency in business analysis tools (e.g., SQL/similar programming language, Microsoft Office Suite, Data Import/Export tools).
Knowledge : Deep understanding of the health insurance landscape, including Contribution Accounting, Billing and Payments, Claims Processing, and System Integrations.
Analytical Skills : Strong problem-solving abilities with a keen eye for detail and a data-driven approach to analysis.
Communication : Excellent written and verbal communication skills with the ability to present complex concepts to both technical and non-technical stakeholders.
Collaboration : Proven ability to work cross-functionally with diverse teams, including IT, business operations, external partners, and offshore teams.
Preferred Qualifications:
Healthcare Certifications : Any relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage.
Contribution Accounting Experience : Familiarity with Contribution Accounting, billing and payment systems is a plus.
Personal Attributes:
Strong attention to detail and organizational skills.
Ability to manage multiple tasks and prioritize effectively.
Client-focused with a commitment to delivering high-quality solutions.
Ability to adapt quickly to changing requirements and priorities.
Education:
Bachelor's or Master's degree in Business, Information Systems, Healthcare Management, or related field.
Cloud BC Labs Inc is a digital transformation organization aimed at creating seamless solutions for clients to effectively manage their business operations. The company specializes in Business and Management Consulting, AI/ML, Data Analytics & Visualization, Cloud Data Warehouse Migration, Snowflake Implementation, Informatica Implementation & Upgrade, Staffing Services and Data Management Solutions
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