Business Analyst Healthcare payer

Roles & Responsibilities

a.   Business Analysis :

• Gathers, reviews and analyzes Claims data to identify issues, and potential problems and solutions related to development and implementation, including but not limited to new products or services, contract deliverables, enhancements to add functionality and / or redesigns of systems, both manual and automated, to improve efficiency, financial models of costing and pricing.
• Utilize the data analysis skills and experience including but not limited to SQL queries to pull or download appropriate data or reports from processing systems required for the analysis
• Develops forward thinking, data driven recommendations and strategies that align with business objectives and based on logical assumptions and facts considering resources, constraints, and Employer values.
• Delivers critical pieces of analysis and research to drive new insights and actively and openly shares with appropriate parties to encourage collaboration for improvement and change. Translates analysis into solutions and / or options for consideration of specific actions, including business process improvements.
• Initiates change and evaluates impact. Plans and executes all initiatives for maximum impact but minimal disruption to our key stakeholders. Promotes and processes product efficacy translates large volumes of data, testing and experiments into clear recommendations and responses to constantly changing business environments. Provides quality, objective, and professional analysis.

b.   Guiding Project Team and Operational Units :

c.   Cross-Functional Integration and Communication :

d.   Business Testing :

e.   Training and Development :

f.   General :

QUALIFICATION REQUIREMENTS :

Required :

Preferred :

Skills Required

healthcare industry, Project Managment, Health Insurance, Sql Data Base, Business Analyst, Claims Processing, Configuration Management