Business Analyst (offline)

Requirements:
US Healthcare Experience (Mandatory);
Expertise in US Health Insurance Claims Processing (Mandatory);
Knowledge of Medical Claims / Pharmacy Claims process (Mandatory);
Knowledge of Workflows for billing (Mandatory);
Sound domain knowledge on healthcare practice management, electronic health records, RCM/claim processing, HL7, ICD-10, NDC Codes, HIPAA 5010 compliance and healthcare insurance payer processes (Mandatory);
Experience writing and reviewing business, technical, and user non-functional/system level requirements;
Good communication skill for client interaction (preferred);
Good basic mathematics, reasoning, and interpretation skills (preferred);
Working knowledge of MS Excel/Access/PowerPoint for project delivery (Mandatory);
Experience in reporting and data analysis (preferred).

Job Responsibilities:
Translate business requirements into technical requirements and solutions
Collaborate with resources to ensure all system design requirements adequately reflect the defined business processes and fully support all components of the functional business requirements
Research complex issues and collaborate with engineering teams to determine effective resolutions
Perform updates and ongoing maintenance to client workflow configurations based on client needs and requirements
Participate in identifying, designing, and implementing internal process improvements, such as automating manual processes that minimize errors and promote scalability
Experience working in different ticketing systems like JIRA, Azure DevOps etc. (Creating backlogs, creating EPIC/User stories, maintaining the board etc.)

Project Description:
The client is a consumer-focused health insurance and technology company that knows healthcare can be complicated and confusing - they want to change all that. The client takes care of the complicated stuff, so you can think about getting and staying healthy, instead of worrying about managing your healthcare. Our client is now looking for an Engineering partner to ingest pre- and post- adjudicated claims into a single standard model, with complete traceability and the ability to tie the claims financially. The intent is that the project will be run as a separate independent thread by a partner, with product management, architectural and software engineering oversight, and review but generally partner managed.

About Waverley Software

Waverley is a US software engineering firm with 30 years of experience. Translate your vision and business sense into high-impact products of tomorrow with the help of our extended software development teams in Latin America, Eastern Europe, and South East Asia.

Company website:
https://waverleysoftware.com/

DOU company page:
https://jobs.dou.ua/companies/waverley-software/