Business Analyst (Provider), Senior

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. They are seeking a Senior Business Analyst responsible for analyzing business problems and developing technical solutions for complex information systems related to Provider Enrollment, Screening, and Credentialing.

Responsibilities:

• Works with customers on presenting technical solutions for complex business functionalities
• Possesses unwavering commitment to customer service and operational excellence
• Provides customer support through leading client demos and presentations
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases
• Creates and modifies Business Process Models
• Understands the overall system architecture and cross-functional integration
• Demonstrates in-depth knowledge of business analysis relates to Provider Enrollment, Maintenance and Screening to ensure high quality
• Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers
• Possesses in-depth knowledge and is well-versed in multiple functions or capabilities
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications
• Analyzes user requirements and client business needs, leveraging expert opinion and expertise
• Acts as the requirements subject matter expert and supports requirements change management
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Requirements:

• Bachelor's degree with 7+ years of business analysis experience or master's degree with 5+ years of business analysis experience; Experience in lieu of a degree will be considered
• Minimum 5 years of experience on large complex project and domain knowledge of Medicare healthcare vertical
• Demonstrated expertise creating user stories and test cases
• Proficient execution of UAT, End-to-End, Unit, Regression, and other testing processes
• Strong knowledge in Medicare Management Information System around Provider Enrollment and related subsystems
• Strong knowledge in Medicare policies and guidelines
• Strong knowledge in claims adjudication and validations
• Strong knowledge in Medicare Reimbursement methodologies
• Excellent Business Analysis Process (SDLC, documentation procedures) experience
• Excellent customer relation skills including presentation and meeting facilitation
• Experience facilitating and running customer facing requirements and design sessions
• Excellent requirements elicitation and validation skill
• Strong knowledge and proficiency in SQL, plus high-level of technical and database knowledge