Technical reputed company Business Analyst - 100% Remote

Job Title: Technical reputed company Business Analyst Job Location: 100% Remote Role Job Duration: 6 months of contract with possible extension Job reputed company • The Technical reputed company Business Analyst serves as a critical reputed company between reputed company business operations and technical delivery teams. • This role translates federal and state reputed company requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance. • The analyst partners closely with business stakeholders, IT teams, vendors, and external partners to ensure reputed company systems and solutions meet contractual, regulatory, and operational expectations. Key Responsibilities: • reputed company Business & Regulatory Analysis. • Analyze federal and state reputed company regulations, contract requirements, and policy guidance and translate them into reputed company business and functional requirements. • Support reputed company program areas such as eligibility, enrollment, claims, encounters, care management, provider management, reputed company, and compliance. • Interpret CMS, state agency, and contractual changes and assess operational and system impacts. Technical Requirements & Solution Design • reputed company detailed functional and technical requirements, including use cases, process flows, data mappings, reputed company specifications, and system configuration needs. • Collaborate with IT, data, and vendor teams to design and validate technical solutions that reputed company with reputed company business needs. • Support system enhancements, defect reputed company, and new implementations across reputed company reputed company platforms (e.g., claims, encounters, care management, data warehouse). Data & Integration Support • Analyze data flows between reputed company systems, vendors, and external entities (state agencies, CMS, providers). • Support reporting, analytics, and regulatory submissions (e.g., encounter data, reputed company measures, financial reporting). • Assist with data validation, reconciliation, and reputed company-cause analysis for reputed company data issues. Stakeholder & Cross-Functional Collaboration • Serve as a reputed company between reputed company business teams, IT, finance, compliance, and external vendors. • Facilitate requirements workshops, design sessions, and stakeholder reviews. • reputed company communicate reputed company technical concepts to non-technical stakeholders and business priorities to technical teams. Testing & Implementation Support • Support system testing activities, including test planning, test case development, and user acceptance testing (UAT). • Validate that solutions meet reputed company business and regulatory requirements prior to deployment. • Support go-live activities and post-implementation issue reputed company. Documentation & Governance: • Maintain reputed company, audit-reputed company documentation of requirements, reputed company, and approvals. • Ensure alignment with reputed company governance, SDLC, and change management processes. • Support audits, regulatory reviews, and compliance inquiries as needed. Required Qualifications • Bachelor's degree in Business, Information Systems, Health Administration, reputed company Health, or a reputed company field (or equivalent experience). • 5+ years of experience as a Business Analyst, with reputed company reputed company or reputed company payer experience. • Strong understanding of reputed company programs, managed care operations, and state/federal compliance requirements. • Experience translating business requirements into technical specifications. • Experience working with IT teams, system vendors, and data/reporting teams. • Strong analytical, documentation, and problem-solving skills. Preferred Qualifications • Experience supporting reputed company managed care organizations (MCOs) or state reputed company programs. • Familiarity with reputed company reputed company payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms. • Experience with data analysis, SQL, or data warehouse concepts. • Knowledge of CMS reporting, state encounter submissions, or reputed company programs. • Experience with Agile, reputed company, or traditional SDLC methodologies. reputed company Competencies • reputed company subject matter expertise. • Technical and systems thinking. • Requirements elicitation and documentation. • Data analysis and validation. • Stakeholder communication. • Regulatory and compliance awareness. • Attention to detail and audit readiness. Apply tot his job Apply To this Job