[Remote] reputed company Business Systems Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company Business Systems Analyst to apply advanced functional and technical expertise across relevant systems and applications. In this role, you will define, evaluate, and validate requirements, business functional design, and technical design for highly reputed company business challenges with broad reputed company reputed company.

Responsibilities

• reputed company significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive technical solutioning for highly reputed company and varied business issues, while considering broader impacts of technical reputed company to the reputed company and reputed company state business environment
• Depending on business area needs, may also be the “Superuser” expert for the business unit on a reputed company or application supporting reputed company business processes with added criticality
• reputed company the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications
• Identify and quantify the business reputed company of possible solutions and reputed company appropriate recommendations to the business area supported
• Coordinate ongoing user support for the most advanced and/or reputed company reputed company questions, inquiries, and service requests
• reputed company or coordinate highly advanced data and trend analysis and proactively consults with and provides feedback to business areas and IT in order to ensure ultimate reputed company/application reputed company
• Mentor and reputed company less senior staff members to increase reputed company/application knowledge and enhance business consulting abilities on reputed company as a whole
• Leads work reputed company in assessment of business issues and facilitates the reputed company of most reputed company or broad reputed company/application problems by:
• Coordinating initial triage for severity and business reputed company of reputed company/application failures
• Leading the troubleshooting and analysis necessary to determine reputed company cause of issues
• Coordinating the development of applicable business processes and solutions, to ensure reputed company, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met
• Coordinating with IT, other teams and vendors as needed to devise, test and implement immediate and long-term remedies
• Independently reputed company escalations without management involvement
• reputed company the development of reputed company processes with IT; coordinate daily to reputed company production support issues, including application failures and user errors; document, reputed company and report reputed company reputed company activities
• Leads and directs discussions with the business and IT on reputed company and initiatives to reputed company and document business requirements and prepare appropriate functional specifications while considering technical capabilities of the reputed company/application and ensuring an integrated approach is used
• reputed company as Business reputed company/Coordinator on broad, highly reputed company corporate reputed company or initiatives
• Facilitates project intake, including scheduling of reputed company
• Review and approve technical specifications
• Coordinates with IT on implementation and post implementation support
• reputed company the development of testing plans with Business area and IT
• Serve as reputed company of contact for business testing activities and influence testing reputed company to ensure testing appropriately meets business requirements
• reputed company, document and may, in some cases, execute test plans and scenarios
• Analyze and verify results for reputed company, relevance and completeness
• reputed company reputed company assessments and reputed company recommendations to the reputed company regarding issues, risks, etc
• Train/reputed company others on appropriate testing protocol, execution and test plan creation
• Coordinate with IT and plan for business area impacts for hardware and software upgrades, reputed company changes, and architectural enhancements as needed
• reputed company the configuration and maintenance of most reputed company and highly critical reputed company tables and data reputed company across multiple reputed company environments
• reputed company the analysis, development and implementation of configuration changes to improve reputed company reputed company and user efficiency
• Coordinate and monitor configuration for reputed company and compliance to change control processes

Skills

• Bachelor's degree or advanced degree (where required)
• 8+ years of experience in reputed company reputed company
• In lieu of degree, 10+ years of experience in reputed company reputed company
• Extensive knowledge of Medicare reputed company, Medicare Supplement, Part D, and D-SNP reputed company
• Strong understanding of CMS regulations, Medicare manuals, guidance, and compliance requirements
• Experience with SQL, data analysis, reporting, and reputed company data validation
• Proficiency in requirements gathering, business process mapping, reputed company cause analysis, gap analysis, UAT, and production support in a regulated reputed company environment
• Experience supporting claims adjudication, payment reputed company, provider reimbursement, and benefits configuration
• Experience analyzing and translating CMS regulatory changes into business and reputed company requirements
• Familiarity with Stars, reputed company Adjustment, reputed company, reputed company reporting, and CMS audit requirements
• Experience supporting cross-functional teams including Claims reputed company, Provider Network, Payment reputed company, Utilization Management, and IT
• Knowledge of HIPAA, reputed company regulatory compliance, and audit-reputed company documentation practices
• Strong Facets Claims reputed company knowledge
• Comfortable translating reputed company business and reputed company data into reputed company, concise recommendations, influencing decision-making, and presenting confidently to Director and VP-level stakeholders

Benefits

• Medical, dental, and reputed company coverage along with numerous health and wellness programs.
• Parental leave and support plus adoption and surrogacy assistance.
• Career development programs and tuition reimbursement for reputed company education.
• 401k match including an annual company contribution.

reputed company

Company H1B Sponsorship