USM Business Systems

JB059829 - Business Analyst

USM Business Systems • $80K — $120K *
US-AnywhereRemote in New Jersey, US
Healthcare
8 - 10 years of experience
More than 3 months ago
Job Overview by Ladders

Qualifications

  • Minimum 8 years as a Business Analyst, with 4 years in healthcare claims.
  • Strong understanding of the end-to-end claims lifecycle and related standards.
  • Excellent analytical and problem-solving skills.
  • Proficient in tools like JIRA, Confluence, and Visio.
  • Exceptional communication and interpersonal abilities.
  • Capable of managing multiple projects in a fast-paced environment.
  • Bachelor's degree in Business or Health Informatics; certifications like CBAP are advantageous.

Responsibilities

  • Gather and analyze business requirements for claims processing.
  • Identify and recommend improvements to existing claims systems and workflows.
  • Serve as a liaison among business users, IT, and quality assurance teams.
  • Create and maintain detailed documentation, including BRDs and user stories.
  • Support testing phases by reviewing test plans and assisting in UAT.

Benefits

  • Comprehensive health insurance coverage.
  • Flexible work arrangement options.
  • Opportunities for professional development and certification sponsorship.
  • Collaborative work environment with a focus on innovation.
Full Job Description
  • Start Date: Interview Types
  • Skills Health care domain Visa Types Green Card, US Citiz..


    • Key Responsibilities

    • Requirements Gathering & Analysis: Work closely with stakeholders to elicit, document, and analyze business requirements for claims processing projects. Translate these business needs into clear, actionable functional and non-functional requirements.
    • System & Process Improvement: Identify and recommend improvements to existing claims systems and workflows to enhance efficiency, accuracy, and compliance. This includes analyzing data to uncover trends and potential issues.
    • Stakeholder Collaboration: Serve as a liaison between business users, IT developers, and quality assurance teams throughout the project lifecycle. Facilitate meetings and workshops to ensure alignment and clear communication.
    • Documentation & Reporting: Create and maintain detailed documentation, including business requirement documents (BRDs), use cases, process flows, and user stories. Develop reports and dashboards to track project progress and key performance indicators (KPIs).
    • Testing & Validation: Support the testing phase by reviewing test plans and test cases to ensure they align with the original requirements. Assist in user acceptance testing (UAT) to validate that solutions meet business needs.


    Qualifications

    • Experience: A minimum of 8 years of experience as a Business Analyst, with at least 4 years of direct experience in the healthcare claims domain.
    • Knowledge: Strong understanding of the end-to-end claims lifecycle, including concepts like adjudication, EDI transactions (e.g., 837, 835), coding (e.g., CPT, ICD-10), and compliance standards (e.g., HIPAA).
    • Skills:

      • Excellent analytical and problem-solving abilities.
      • Proficiency in business analysis tools (e.g., JIRA, Confluence, Visio).
      • Exceptional communication and interpersonal skills.
      • Ability to manage multiple projects and priorities in a fast-paced environment.
    • Education: Bachelor's degree in Business, Health Informatics, or a related field. Relevant certifications (e.g., CBAP) are a plus.

    About USM Business Systems

    USM is a company which develops game apps for iPhone

    USM Careers

    Joining USM presents an unparalleled opportunity to become part of a leading team of professionals dedicated to pioneering innovations in their industry. USM stands as a beacon of excellence, offering a plethora of job opportunities that cater to a diverse range of skills and professional interests.

    Explore Career Opportunities

    USM is actively seeking talented individuals for various positions across the company. With a commitment to diversity and leadership development, USM provides an environment where every employee can thrive. The company values the growth of its team members and supports this with comprehensive benefits and professional development opportunities.

    Innovation and Leadership at USM

    At the core of USM's success is a culture steeped in innovation and leadership. The company is renowned for its dynamic approach to challenges and its ability to lead market trends. Professionals at USM are encouraged to lead projects that stretch their capabilities and foster significant industry advancements.

    USM's Commitment to Professional Growth

    Career advancement is a cornerstone of USM's ethos. The company offers extensive training programs, including leadership and diversity training, to ensure that all team members have the tools they need to succeed. USM's commitment to professional growth is evident in its robust internal promotion and career development pathways.

    Internship Programs and Entry-Level Positions

    For those starting their careers, USM provides a range of internship and entry-level job opportunities. These positions are designed to build foundational skills and integrate new professionals into the industry effectively. Interns at USM gain valuable hands-on experience, working alongside seasoned experts and contributing to impactful projects.

    Networking and Career Development

    USM encourages its employees to engage in networking within the professional community, enhancing their career prospects and industry knowledge. The company hosts regular events and seminars, fostering a network of motivated, forward-thinking professionals.

    Applying for a Position at USM

    To apply for a position at USM, candidates are encouraged to submit a resume that highlights relevant experience and skills. The hiring process at USM includes a comprehensive interview to assess fit both for the role and the company culture. This ensures that all team members are aligned with USM's values and goals.

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