Hands on experience working on products like FJA, Facets Plan/Product module. Health Edge, HealthRule Payor applications.
Worked in product configuration data management team, hand on experience in setting up product shell, benefits, service payments, and service pricing.
Four to five year of Business Analyst experience, focusing on plan / product set up, benefit configuration and accumulator calculation in health plan industry is preferred
Good understanding of Health plan domain like Membership (EDI 834), Providers, Benefits and claims (EDI 837) gained either through implementation or testing of core admin system like Facets, QNXT, Amysis WGS, ISG, CHIPS, HealthEdge, Diamond etc.
Good Interpersonal Skills and excellent communication skills
Good to have understanding of databases and data warehouses etc.
Good to have, understanding of SQL language and ability to write SQL queries against relational databases
Advanced skills in Microsoft Excel and Visio
Experience writing business requirement documents and functional design documents
Bachelors degree in Business Administration, Computer Science, Information Systems
Roles & Responsibilities: -
Proactively engage with onshore on requirements related matters, and act as a liaison between onshore and offshore
Ability to translate unstructured business issues into organized business requirements
Develop functional design document and Effectively document technical system requirements into a high level process workflow document using Microsoft Visio
Assist development in building technical design documents and development phase
Key stakeholder in defining testing road-map while working with Front end team, Product Architect and User Experience
Assist testing team in building test scenario and test case and help with test data set-up and test case execution.
Provide analytical support to internal development and testing team, including developing and maintaining reports to track performance and monitor data quality
Coach testing teams on quality and domain concepts
Track and communicate operational risks related to data acquisition from third party data vendors