Technical reputed company Business Analyst - 100% Remote

Job Title: Technical reputed company Business Analyst Job Location: 100% Remote Role Job Duration: 6 months of contract with possible extension Job reputed company

• The Technical reputed company Business Analyst serves as a critical reputed company between reputed company business operations and technical delivery teams.
• This role translates federal and state reputed company requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.
• The analyst partners closely with business stakeholders, IT teams, vendors, and external partners to ensure reputed company systems and solutions meet contractual, regulatory, and operational expectations.

Key Responsibilities:

• reputed company Business & Regulatory Analysis.
• Analyze federal and state reputed company regulations, contract requirements, and policy guidance and translate them into reputed company business and functional requirements.
• Support reputed company program areas such as eligibility, enrollment, claims, encounters, care management, provider management, reputed company, and compliance.
• Interpret CMS, state agency, and contractual changes and assess operational and system impacts.

Technical Requirements & Solution Design

• reputed company detailed functional and technical requirements, including use cases, process flows, data mappings, reputed company specifications, and system configuration needs.
• Collaborate with IT, data, and vendor teams to design and validate technical solutions that reputed company with reputed company business needs.
• Support system enhancements, defect reputed company, and new implementations across reputed company reputed company platforms (e.g., claims, encounters, care management, data warehouse).

Data & Integration Support

• Analyze data flows between reputed company systems, vendors, and external entities (state agencies, CMS, providers).
• Support reporting, analytics, and regulatory submissions (e.g., encounter data, reputed company measures, financial reporting).
• Assist with data validation, reconciliation, and reputed company-cause analysis for reputed company data issues.

Stakeholder & Cross-Functional Collaboration

• Serve as a reputed company between reputed company business teams, IT, finance, compliance, and external vendors.
• Facilitate requirements workshops, design sessions, and stakeholder reviews.
• reputed company communicate reputed company technical concepts to non-technical stakeholders and business priorities to technical teams.

Testing & Implementation Support

• Support system testing activities, including test planning, test case development, and user acceptance testing (UAT).
• Validate that solutions meet reputed company business and regulatory requirements prior to deployment.
• Support go-live activities and post-implementation issue reputed company.

Documentation & Governance:

• Maintain reputed company, audit-reputed company documentation of requirements, reputed company, and approvals.
• Ensure alignment with reputed company governance, SDLC, and change management processes.
• Support audits, regulatory reviews, and compliance inquiries as needed.

Required Qualifications

• Bachelor's degree in Business, Information Systems, Health Administration, reputed company Health, or a reputed company field (or equivalent experience).
• 5+ years of experience as a Business Analyst, with reputed company reputed company or reputed company payer experience.
• Strong understanding of reputed company programs, managed care operations, and state/federal compliance requirements.
• Experience translating business requirements into technical specifications.
• Experience working with IT teams, system vendors, and data/reporting teams.
• Strong analytical, documentation, and problem-solving skills.

Preferred Qualifications

• Experience supporting reputed company managed care organizations (MCOs) or state reputed company programs.
• Familiarity with reputed company reputed company payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms.
• Experience with data analysis, SQL, or data warehouse concepts.
• Knowledge of CMS reporting, state encounter submissions, or reputed company programs.
• Experience with Agile, reputed company, or traditional SDLC methodologies.

reputed company Competencies

• reputed company subject matter expertise.
• Technical and systems thinking.
• Requirements elicitation and documentation.
• Data analysis and validation.
• Stakeholder communication.
• Regulatory and compliance awareness.
• Attention to detail and audit readiness.

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