Senior Business Analyst
# Senior Business Analyst **OmegaHires** · United States · `Remote` · `Contractor` 💼 **Уровень роли:** `Senior` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Senior-Business-Analyst]` `[Business-Analyst]` `[Healthcare-Business-Analyst]` `[Claims-Analyst]` `[Healthcare-Analyst]` `[Senior-Business-Analysis]` `[Senior-Staff-Business-Analyst]` `[Senior-IT-Business-Analyst]` `[Senior-Business-Systems-Analyst]` `[Senior-Business-Systems-Analysis]` `[Senior-Business-Process-Analyst]` `[Lead-Business-Analyst]` `[Senior-Business-Information-Analyst]` `[Senior-Program-Business-Analyst]` --- ### About the Role Senior Business Analyst Responsibilities:- Play the role of Claims Domain lead for health care projects.- Drive the claims module and process, ensuring quality and coordination with customers.- Perform analysis of business requirements, design and develop documentation.- Meet customer expectations, troubleshoot problems in the application, and assist customers in implementation decisions.- Work in a team environment and provide guidance throughout the entire life cycle.- Conduct demos at completion of milestones and track feedback from such demos.- Collaborate closely with development, architecture, and design teams to define GUI view and platform requirements. Required Skills:- Strong health care domain experience with good knowledge of Medicaid and Medicare.- Hands-on experience in claims processing and adjudication processes.- Experience with sets required in claims adjudication.- Prior experience or understanding in configuring benefits or programs in claims systems across various sub-systems.- Ability to run queries and perform basic system analysis and root cause analysis.- Excellent written and spoken communication skills.- Ability to multitask between internal teams and clients based on priority tasks.- In-depth understanding of claims and claims lifecycle, including member, provider, claim submission, adjudication, payment cycle, and reporting.- Familiarity with claim types (professional, dental, institutional, pharmacy) and claim formats (EDI X12 formats like 837P/I/D, 835, 834, 270/271, 276/277).- Familiarity with claim systems like CMdS, GHS, Facets, etc. Technical Skills:- Proficiency in SQL for validating data in backend tables.- Experience with EDI tools for validating X12 files.- Understanding of interface testing and data flow between systems using tools like Postman. Preferred Skills:- Minimum of 8+ years of experience in health care, especially in the MMIS domain.- Capability to think creatively to develop new solutions as needed.- Ability to validate test scenarios, test plans, and test data.- Experience in reviewing requirements, documentation, and creating Requirements Traceability Matrix (RTM).- Excellent communication skills to engage with various stakeholders, including QA/dev teams, clients, end users, and business units.- Ability to assess current product functionality against market trends and regulatory requirements for future versions.- Ability to drive and share requirements with technical teams regarding product features to be implemented. Originally posted on Himalayas
- Senior-Business-Analyst
- Business-Analyst
- Healthcare-Business-Analyst
- Claims-Analyst
- Healthcare-Analyst
- Senior-Business-Analysis
- Senior-Staff-Business-Analyst
- Senior-IT-Business-Analyst
- Senior-Business-Systems-Analyst
- Senior-Business-Systems-Analysis
- Senior-Business-Process-Analyst
- Lead-Business-Analyst
- Senior-Business-Information-Analyst
- Senior-Program-Business-Analyst
Наблюдалась 2026-10-16, впервые 2026-10-15, источник — Himalayas (JSON API).