| :Healthcare Insurance Business Analyst::Fort Lauderdale::12 - 15 months-USC at Remote, Remote, USA |
| Email: ap@susinfotek.com |
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https://rb.gy/r1ud0k https://jobs.nvoids.com/job_details.jsp?id=2245211&uid= From: AMIT, SUS ap@susinfotek.com Reply to: ap@susinfotek.com Position: Healthcare Insurance Business Analyst Location: Fort Lauderdale-Remote Duration: 12 - 15 months Phone and Video MUST HAVES: Healthcare insurance company experience Enrollment / claims experience EDI experience Jira Confluence Name: | Phone Number: | Email: | Work Authorization Type: | Education: | Current Employer/Client: | Current Location (City & State): | Relocation Preferences: | Communication Skills (1-10): | Agreed Comp: $/hr | LinkedIn Profile: | Qual call notes: Miramar core product Goal - Reach larger health plans and smaller heath plans They need to drive the cost down, level of configuration to set up Miramar tools themselves (for smaller health plans) Internal teams - want to give the access level Customer facing to some extent Hiring up to 6 business analysts Looking to onboard in the next couple of weeks Not finding the right quality candidates 2025-2026 implementation, entire year - early 2026 for deployment within first 2 quarters When are you looking them to start - no later than the end of this month, beginning of next month Confluence and Jira (documenting requirements) Powerpoint, word, excel; MS office suite; UX design - balsamic Medicare advantage prescription drug plans Nature of the business - understanding of what they do Understanding of the health care system Are you open to visa candidates They would be open In terms of certifications, education What would stand out Anything X12 EDI format, overall file structure and layout, import export to their internal clients Sequel experience can be useful Dont find a lot of Medicare advantage Aggressive timeline on the implementation 6 overall candidates Once they are up and running what would a day to day look like: A lot of pen and paper, meet with stakeholder, changes and requirements that they would be grooming More of an agile approach Solution for plan configurations They would be doing technical work Pretty extensive when it comes to resources Get the up to speed, calibration sessions, hashing out the overall requirements A34 - enrollment eligibility 270-271; Data sets is a little bit different than the standard Convey is looking to onboard up to 6 Business Analysts (BA) to support the new Miramar Re-Engineering Project, which focuses on enhancing system configurations to drive efficiency, optimize implementation efforts, and reduce PMPM costs. Any Analysts with a track record of successfully delivering similar process improvements will be highly beneficial to this initiative. Convey uses Miramar enterprise technology platform, it accepts enrollments from all sources, CMS eligibility verification process Miramar aggregates everything into one platform, robust suite of digital experience to handle heathcare needs Convey Health Solutions is a private company that provides technology and analytics services for health plans like Medicare and Medicaid. Automated platform to improve Helps manage health plan with healthcare data Following are the key qualifications client is seeking: Business Analyst Qualifications 1. Industry Expertise: o Strong background in Medicare (MA, MAPD, PDP) within both individual and employer group plans. o Experience with employer eligibility file processing implementations. 2. Technical Skills: o Proficiency in writing detailed system configuration requirements and defining process automation strategies. o Ability to collaborate with development teams to enable additional system configurations via UI for automation. 3. UX and Design: o Familiarity with high-level UX design principles. o Experience in creating wireframes and markup diagrams to support system design discussions. 4. Cross-Functional Collaboration: o Demonstrated ability to work effectively with technical, operations, and client teams to gather, document, and validate requirements. 5. Preferred Experience: o Knowledge of eligibility processing workflows and file structures in the Medicare or employer group plan space. o Experience in implementing solutions that align with compliance requirements and industry standards. 6. Soft Skills: o Strong analytical and problem-solving abilities. o Excellent communication and documentation skills to articulate complex concepts clearly and concisely. Job Description: The IT Business Analyst solves organizational information problems by analyzing requirements; designing system enhancements; recommending system controls and protocols. Working closely with business representatives and information technology teams, business analyst will translate business needs into effective process and software designs, helping business achieve its objectives using process and technology. ESSENTIAL DUTIES AND RESPONSIBILITIES Determines operational objectives by studying business functions; gathering information; evaluating output requirements and formats. Initiates, participates and facilitates data modeling, process modeling and solution modeling Designs and documents software solutions by analyzing requirements; constructing workflow charts and diagrams; studying system capabilities; writing specifications as needed Improves systems by studying current practices; designing modifications. Recommends controls by identifying problems; writing improved procedures. Develops testing scenarios and assists with user acceptance testing for system and process changes Provides references for users by writing and maintaining user documentation; providing help desk support; training users. Prepares technical reports by collecting, analyzing, and summarizing information and trends. Investigate service related issues to identify root cause of issues; identify and communicate business needs assessments as necessary. Keeps abreast of trends and issues in the government healthcare insurance space. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies. EDUCATION AND EXPERIENCE Bachelors degree in computer science, industrial engineering, business, or operations management Minimum of five to seven years of experience in similar role A solid history of leading development, support, modifications, enhancements and troubleshooting technologists is required. Experience in Healthcare Insurance Enrollment and Membership Services environment, with government sponsored program experience a big plus OTHER DUTIES AND RESPONSIBILITIES Responsible for compliance with all federal, state and local laws, rules and regulations affecting Company. Responsible for participating in quality assurance, compliance and in-service and continuing education activities as requested by Company. Responsible for performing other duties and responsibilities as required. REPORTING RELATIONSHIP X Position has no supervisory responsibilities Provides work direction only Provides work direction and has responsibility for hiring, promotions, transfers, performance management, discipline and discharge, etc. Knowledge, Skills, and Abilities Strong Analytical Skills and problem solving skills Excellent Oral and Written Communication Skills Strong Business Process Analysis and Design Skills Ability to Create and Maintain Flow Charts for Business processes Ability to create State Diagrams, Screen Mock Ups Ability to design, document process monitoring and control Reports Software Requirements Documentation Software Testing for User Acceptance Strong presentation / demonstration skills Business Process for User Acceptance Ability to engage comfortably and effectively present information to top management, internal and external customers Good written, verbal and interpersonal communication skills. Excellent organizational skills and attention to detail. Excellent documentation skills. Team player. Requires analytical / problem-solving skills Requires solid knowledge of generally accepted accounting principles Hands on individual with strong work ethic combined with solid managerial skill set. Strong attention to detail and ability to meet aggressive deadlines Skill in dealing politely, tactfully and firmly with a wide range of people and personalities. Skill in communication and interpersonal skills sufficient to exchange or convey information and to receive work direction. Skill in organizing and prioritizing tasks. Must be able to multi-task and think quickly. Ability to analyze data and prepare reports. Ability to understand and carry out complex oral and written instructions. Ability to interact professionally and maintain effective working relationships with superiors, coworkers, customers, and others. Ability to work in an environment with many interruptions. Ability to be flexible and juggle many assignments or projects at the same time. Ability to manage open requests and follow up when necessary without outside direction. Ability to manage time effectively with strong attention to detail. Ability to constantly meet deadlines. Ability to interact politely, tactfully and firmly with a wide range of people and personalities. Ability to manage multiple simultaneous tasks with individual timeframes and priorities. The ability to generate positive relationships with internal and external business associates as well as foster a team environment through excellent leadership and management skills. Strong change management skills and ability to thrive in a dynamic and fast-paced environment. Computer Equipment and Software Requirements This position requires the ability to work with a personal computer in a Windows environment. Must possess familiarity with office software including Word, Excel, and Outlook. Regards, Amit Panthri Technical Recruiter E: ap@susinfotek.com Keywords: business analyst user interface user experience information technology microsoft Massachusetts :Healthcare Insurance Business Analyst::Fort Lauderdale::12 - 15 months-USC ap@susinfotek.com https://rb.gy/r1ud0k https://jobs.nvoids.com/job_details.jsp?id=2245211&uid= |
| ap@susinfotek.com View All |
| 07:44 PM 11-Mar-25 |