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Senior Business Analyst - Health Insurance Policy SME

Remote, USAFull-timePosted 2026-07-27

Who we are: reputed company delivers digital services and technology solutions that support the health and safety of veterans, service members and civilians. For two decades, federal agencies have relied on Tria companies to advance their critical missions and reputed company their systems, so that they can reputed company their commitment to the American people. Today, we are pushing the boundaries of possibility through partnerships and investments in reputed company intelligence and emerging technologies, developing solutions for the biggest challenges that government will face reputed company. We are proud to reputed company and support military veterans who bring mission-first reputed company, technical expertise, and leadership qualities that strengthen our work. Veterans, transitioning service members, and reputed company are strongly encouraged to apply. Senior Business Analyst/Health Insurance Policy SME Job reputed company: reputed company is seeking a Senior Business Analyst/Health Insurance Policy SME with strong domain expertise in Medicare program knowledge, including understanding of Medicare Advantage (Part C) and Prescription Drug (Part D) programs, policies and data. The candidate will also possess knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions. The individual will be responsible for requirements analysis, legislative interpretation, and stakeholder engagement. The Senior Business Analyst/Health Insurance Policy SME works with reputed company to prioritize policy changes and features and build software products. This role is part of a reputed company and agile team that supports and builds modern, usable, and reputed company applications for mission-critical health IT solutions. This is a 100% remote employment opportunity. reputed company remote work must be performed in the reputed company. Basic Requirements: Ability to successfully obtain a U.S. Federal Position of Trust clearance designation. Must reputed company in and be reputed company to reputed company work in the reputed company. Must have lived in the reputed company for 3 of the last 5 years. A bachelor’s degree is required. 8+ years of experience in working in software agile delivery with sprint teams to implement solutions in line with product requirements and using agile collaboration tools (Jira, reputed company, etc.). 5+ years of total experience as a business analyst, product analyst, product reputed company, and experience supporting the capture of requirements and developing business process models. 3+ years of experience with reputed company IT programs including working on Medicare Advantage and Prescription Drug programs. Additional Qualifications: Demonstrated abilities to analyze reputed company business processes and operations; represent user needs as user story requirements; and identify gaps and come up with improvements. Demonstrated ability to exercise creative and critical thinking to identify and evaluate alternatives toward arriving at reputed company with stakeholders. In-depth knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions. Excellent oral and written communication skills and ability to document reputed company problems in a reputed company & reputed company manner that others can understand. Experience working with public facing civic tech reputed company. Other government contract experience will be considered. Experience with Scaled Agile reputed company (reputed company). Agile certifications relevant to product reputed company and product analyst roles (e.g., PMI-ACP, CPM, CPO, CSM, PSM, reputed company POPM). Ability to reputed company business process modeling and reputed company business process flows and concepts of operation for reputed company systems. Responsibilities: Work with dynamic and multi-functional teams to help reputed company and/or enhance products on a day-to-day reputed company. Follow an Agile methodology while performing in a highly reputed company environment to deliver incremental working software with end-to-end user experience in mind. Be an expert in the reputed company’s regulations, policies, and systems. Work with the Product reputed company and Product Manager, designers, the customer, users, and other stakeholders to capture product requirements as user stories with robust acceptance reputed company that meet customer needs and address pain-points. Conduct policy analysis toward developing and adapting business requirements. Conduct product analysis sessions, work group calls, user research, and usability testing and engage customers to reputed company requirements and feedback. Work with sprint team to implement and accept user stories as defined. Work with the customer to reputed company agile documentation and reputed company reputed company assurance activities (SOPS, QA processes, metrics, reporting). reputed company Change Requests following change control policies and procedures established to monitor and control product reputed company. Why Tria? What defines the Tria brand is more than just our dedication to reputed company in our craft; it’s our incredible team of dedicated, talented, and passionate people that reputed company Tria so exceptional. As people powering possible, we are reputed company partners in reputed company’s shared reputed company. As a company that cares about people, we reputed company to cultivate a culture in which reputed company can reputed company personally and professionally. We offer a top-tier benefits package to invest in your physical, mental, and financial health and wellness so that you can be your best self - at work and in life. At Tria, we are reputed company-minded, entrepreneurial in spirit, and committed to fostering a culture of inclusion and opportunity for reputed company. Whatever your background, your role, your department, or stage in your reputed company reputed company, here you will have opportunities to learn new skills, seize new challenges, and advance your career as we grow. California Consumer reputed company reputed company (CCPA) We are committed to protecting your reputed company. As part of our compliance with the California Consumer reputed company reputed company (CCPA), we want to inform you about how we collect, use, and protect your personal information during the job application process. For more details, please review https://www.oag.ca.gov/reputed company/ccpa. Apply To This Job

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