Technical Business Analyst

Job Description:Responsibilities1. •Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain.2. Must have a prior experience in implementing/maintenance of commercial payer claimssolution and/or Medicare/Medicaid system3. Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.4. Must have good experience in Reference code/data sets required in Claims adjudicationincluding not limited to CPT, CDT, HCPCS, ICDs.5. Must have prior experience or understanding in configuring benefits or programs in claimssystem across various sub-systems.6. Must be able to work with the clients to create/gather requirements and document themaccording to standards.7. Must adhere to (or if needed, define) the processes for requirement solicitation, documentationand hand off. 8. Should work closely with the IT development team to elucidate the requirements, enableconstructive discussions / brainstorming sessions to implement the best in class solution.9. Should have basic understanding concepts like web services, relational databases etc.,10. Should be able to run queries and perform basic system analysis, RCA etc.,11. Should be able to create mapping documents for the various interfaces and include businessrules, transformation and DB mapping.12. Should work closely with the client and development team during the stages of development,and conduct demos at completion of milestone, track and close feedback from such demos13. Must have excellent written and spoken communication skills. Should be able to multitaskbetween internal team and clients based on priority tasks14. Work Closely with Dev, architecture and Design teams to define the GUI view and platformrequirements, which is the foundation of the product.

Preferred skills:1. Capability to think out-of-the-box to create new solutions as needed.2. Prior experience as a IT QA or Developer in a healthcare system would be helpful though notmandatory.3. Ability to validate Test scenarios and test plans, test data.4. Should be able to Review requirements, documentation and create Requirements Traceabilitymatrix (RTM)5. Should have excellent communication (written and spoken ) skills to engage with differentstake holders like QA/dev team, clients, end users of Clients and Business Units.6. Ability to assess current functionality available in a product vis a vis market trends, regulatoryrequirements to be implemented in future version of the product.7. Ability to drive and share the requirements with Technical and Architects regarding productfeatures to be implemented.

Optional Tools usage1. MS Visio to define the different views like System, technical, functional and role based view.2. Awareness defect tracking and version control tools like Jira, TFM, DevOps Azure3. DB client to write data queries to validate data updated in the database table.