Health Insurance Business Analyst Jobs in Raleigh, NC

Organizations today are not only challenged by the constantly changing and emerging technologies, but are also confronted with difficulties in acquiring adequate human resources to meet the dynamics of the different IT Project initiatives. It becomes imperative to any business organization to utilize the most cost-effective ways of acquiring talent for immediate and long-term projects with a specific or niche skill set.

Since our inception, Reliable Software has been offering IT consulting services to the clients which enable them to maximize their IT investment and that has made us extremely competent enough to work on any IT consulting project for any industry domain. We offer world-class business solutions leveraging widely accepted strategies and technologies on different platforms and these services come at competitive rates. We design end to end business solutions from conceptualization to implementation as per the client's requirements.

To acquire strategic skills in a timely and cost-effective manner, many companies turn to Reliable Software for quality IT resource management. Reliable Software has the ability to quickly respond to technology initiatives by strategically acquiring skills and managing available resources. With customers ranging in size from startups to Fortune 500 enterprises, we understand the ever increasing need for talented IT professionals in the development of new technologies. Reliable Software is in business to help you maintain your competitive advantage by cost-effectively delivering highly skilled consultants when and how you need them most.

Reliable Software helps you address technical resource requirements with contract services. We invite you to see the difference working with Reliable Software and our strength is in our people and we are ready to work hard for you. Our broad portfolio of solutions enables us to meet your specific staffing requirements across all technologies and domains and below is the list

Greetings from Reliable Software Resources Inc!!!

This is Sreekanth G from Reliable Software Resources Inc and I am writing to see whether you are interested in an exciting/challenging opportunity at Durham, NC Onsite.

Our client is interested in hiring a Healthcare Business Analyst who can use Healthcare, Claims, and use case.

Please let us know whether you would like to be considered. We hope you do as this is truly a great opportunity to make a difference. If you are interested please respond back to this e-mail with your updated resume and a summary of your key skills and the compensation you are looking for. You can also reach me at 248-237-7009.

The details of the position are as mentioned below:

Kindly find the JD below for your reference

Title: Sr. Healthcare Business Analyst

Location: Durham, NC

Duration: 12 - 18 Months

Term: Contract to Hire 

Interview Process: Phone then Skype /On-Site

Remote Option: No

Required: Tasks & Duties

Excellent communication Skills are required 

Locals are highly preferred.

Top Three Skills: 

1) 6+ years (Expert level) business analysis/business systems analysis experience (Demonstrated analysis, requirements elicitation, data collection, and reporting skills, cross-functional) 

2) Healthcare or health insurance experience 

3) Superior communication. This person will have to navigate complex political environments and deal with a variety of high-level stakeholders. The person must be able to easily do this.

PLUS: CBAP certification.

Responsibilities:

Our client is seeking a business analyst with healthcare insurance experience who can support their organization seeking to improve their technology around claims. 

This person will work on gathering requirements for the small group remediation for the claims adjudication system. 

This person has to be really strong at documentation as that will be their top skill.

Responsible for discerning business needs, developing requirements and business functional designs to solve the most complex enterprise-wide business problems through enabling technology and/or business process that impact multiple business units, lines of business, processes, and/or multi-project portfolio. 

Requires the facilitation of work sessions, documentation of requirements, development of requisite specifications, and definition/management of scope as input to technical/process design - and finding synergies across concurrent project activity. 

May assist business area in performing enterprise analysis as input to business case and opportunity selection process. 

The ultimate outcome is to ensure the quality, cost effectiveness, and timeliness of key business services and regulatory requirements or mandates - that are approached as a holistic, integrate enterprise solution. 

This position works directly with technology partners to translate relevant enterprise business functional design into technical solutions, serving as a liaison between business partners and technology partners, and includes roles of leadership. 

Facilitate and influence construction of specific complex solutions through scoping documents, risk assessments, and corresponding financial requirements to balance ROI. 

Facilitate the elicitation of business requirements as needed to ensure that requirements are documented and that applicable business processes are reviewed, analyzed, and developed.

Conduct business analysis to validate designs and prioritize requirements through utilization of observation techniques and process analysis tools.

Create and document the design of business solutions to meet the needs of the business and ensure end-to-end traceability through appropriate artifacts.

Maintain and utilize detailed analysis and process design knowledge in the construction of solutions, which require working level knowledge of the processes, technologies, and people components.

Serve as a trusted expert advisor or a Subject Matter Expert for analysis and process design services, which may range from informal advice and training to formal presentations.

Provide consultancy and advice to business partners on the applicability and usability of alternative technology-enabled and/or process-enabled solutions to help address the business problem/issue. 

Review documents and models produced by Business Analysts and peers to ensure quality of the product.

Support program and portfolio management goals through assessment of business solutions for decomposition of projects into multiple production releases to meet business owner needs.

Participate in the development of and support a defined scope and implementation strategy, including definition of success criterion, project objectives, and implementation plans. 

Advocate for and follow appropriate enterprise-wide standards for analysis, process documentation, and reviews.

Maintain knowledge of industry-aligned practices for requirements definition and management; use knowledge and subject matter expertise to coach and mentor as required.

Interpret and translate impacts, risks, and gaps across technical and non-technical audiences, using audience appropriate artifacts, to ensure a holistic understanding of business and user requirements. 

Communicate effectively with individuals and groups of all levels, from individual contributors to executive leadership; through written and verbal presentations, facilitation and resolution of outstanding issues, and appropriate recommendations. 

Lead analysis to define, analyze, and develop enterprise solutions to resolve business impacts.

If interested, please send a reply with your Updated Resume.

Awaiting your reply...

All your information will be kept confidential according to EEO guidelines.