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4 дня назад

Bus Sys Analyst Specialist

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Bus Sys Analyst Specialist (Healthcare Claims): Analyzing Medicare and Medicaid claims initiatives, regulatory changes, and end-to-end claims processes with an accent on requirements development, systems analysis, and regulatory compliance. Focus on translating complex program changes into business requirements, assessing system impacts, and improving requirements and claims-processing workflows.

Location: Remote within the USA; final-round interviews take place onsite in Chattanooga, Tennessee.

Company

hirify.global provides health insurance and healthcare coverage services.

What you will do

  • Analyze Medicare, Medicaid, and TennCare claims initiatives and regulatory changes.
  • Assess business and system impacts, define business rules, and document requirements.
  • Identify system constraints, implications, and consequences of proposed changes.
  • Lead requirements analysis and verification across business and technical teams.
  • Direct business process improvement efforts and identify opportunities to improve requirements gathering and documentation.
  • Serve as a project lead, business systems analyst lead, or technical lead on small to medium efforts and manage phases of larger projects.

Requirements

  • Bachelor’s degree in computer science or a related field, or equivalent work experience.
  • At least 3 years of experience in information technology and systems analysis.
  • At least 1 year leading requirements development efforts and at least 1 year of systems analysis, design, and project management experience.
  • Business analysis, root cause analysis, requirements documentation, and systems impact assessment skills.
  • Ability to translate complex technical concepts into information meaningful to business and project teams.
  • Strong communication, presentation, facilitation, negotiation, analytical, organizational, and multitasking skills; proficiency with Microsoft Office.

Nice to have

  • Healthcare payer or health insurance experience.
  • Experience with Medicare, Medicaid, claims processing, or CMS initiatives.
  • Knowledge of regulatory compliance and federal or state mandates.
  • Experience with data mapping, systems integrations, or SQL queries and database analysis.

Culture & Benefits

  • Remote, work-from-home position.
  • Collaboration with business operations, technology teams, and external regulatory agencies.
  • Employee position within a highly regulated healthcare environment.
  • Visa sponsorship is not available.

Hiring process

  • The final interview round takes place onsite at the Chattanooga, Tennessee office.

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