Conduent Healthcare Claims Business Analyst in Secaucus, New Jersey
Healthcare Claims Business Analyst
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .
Conduent is seeking an experienced Business Analyst for a Healthcare Payer system that processes workers compensation bills for the Federal Department of Labor. The business analyst will provide functional and analytical support for requirements validation, design, training, and QA support. An ideal candidate will have subject matter experience in healthcare claims processing, general knowledge of pharmaceutical claims processing, and excellent written and verbal communication skills.
Analyzes business processes and performs needs assessments in an effort to align information technology solutions with business initiatives
Interprets business needs and translates them into system requirements
Writes business specifications and forwards to technical staff for system development
Interprets systems specifications to develop, maintain and support automated business processes
Provides technical expertise in identifying, evaluating and developing systems and procedures that are cost effective and meet user requirements
Reviews and provides input for QA test plans
Configures system settings and options, plans and executes acceptance testing, and creates specifications for systems to meet business requirements
Acts as a resource for colleagues with less experience
Requires in-depth knowledge and experience
Generally domestic scope/accountability
Knowledge of SDLC processes
Provide estimates and weekly status reports for project plans
Updates system documentation
Plans, arranges and controls meetings, workshops and relations with client/user staff during system investigations and throughout subsequent development work. Takes responsibility at a high level for the proper conduct of such relations.
Defines, plans and justifies (in business terms) projects to develop/implement automated and non-automated components of new or changed processes.
Assists clients/users in defining acceptance tests for automated systems, and takes responsibility for their proper execution.
All other duties as assigned.
Minimum five years’ experience as a business analyst or systems analyst or related work
Bachelor’s degree or equivalent related experience
Clear communication, particularly written communication
Knowledge of project life cycle
Experience creating logical process flow diagrams
Ability to perform and present root cause and downstream effects analysis
Experience developing use cases and designing screens
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .
Job IM Business Analysis
Primary Location United States-New Jersey-Secaucus
Unposting Date Ongoing
Req ID: 18005920