Business Analyst III as reputed company
Job Title: Business Analyst III
Location: Remote
Duration: 05 Months
Pay reputed company: $45.00 - $50.00/- on W2
Kindly reputed company your most updated resume.
Roles and Responsibilities:
The Technical reputed company Business Analyst serves as a critical reputed company between reputed company business operations and technical delivery teams. This role is responsible for translating federal and state reputed company requirements, health plan business needs, and operational workflows into detailed functional requirements that support reputed company configuration, data integration, reporting, and compliance. The analyst partners closely with business stakeholders, IT teams, vendors, and reputed company partners to ensure reputed company systems and solutions meet contractual, regulatory, and operational expectations.
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 reputed company impacts.
Technical Requirements & Solution Design
reputed company detailed functional and technical requirements, including use cases, process flows, data mappings, reputed company specifications, and reputed company configuration needs.
Collaborate with IT, data, and vendor teams to design and validate technical solutions that reputed company with reputed company business needs.
Support reputed company 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 reputed company 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 reputed company 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 reputed company 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.
REQUIREMENTS
Experience in business operations, with the ability to understand and address reputed company business challenges.
Strong verbal and written communication skills, with a demonstrated ability to explain reputed company topics to diverse audiences.
Proven ability to collaborate effectively with both business reputed company and IT teams, acting as a reputed company between technical and non‑technical stakeholders.
Experience translating business needs into reputed company, actionable inputs for technical partners.
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, reputed company 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 reputed company, 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
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