Healthcare-Business Analyst

Job DescriptionIn the role of a HealthCare Domain Consultant, you will be expected to leverage your domain expertise to understand key trends shaping the US Healthcare sector, identify transformation levers, design the next generation IT-led solutions, and facilitate deployment by leading small to medium projects. Additionally, you are required to provide industry wide knowledge and insights to complex business needs since you will be in a client facing role.
Roles & Responsibilities

Drive Business requirements grooming sessions to develop product backlog and elaborate functional specifications for an IT solution, using ALM tools like Jira, Rally, RRC & RTC.

Document as-is & to-be Business processes, assessing the Business models, systems, and integration with technology.

Work closely with Product Owners and Business Stakeholders to analyse requirements & prepare Product Backlog items.

Prepare user stories, prepare acceptance criteria for user stories, and manage product backlog, with prioritization.

For stakeholders and customers, act as a bridge between the Business requirements and the technology solutions and testing.

Expertise in Software dev. lifecycle and working experience in Agile methodologies & tools.

Experienced in Leading & Managing Agile projects, Team, SLAs, Operations, SOW compliance, Risks, Quality & Budget.

Participate in account / unit level strategic initiatives

Identify new growth opportunities and support proposal and solution activities

Good understanding of project management activities and project budgeting
Technical RequirementRelevant experience as a Domain / Business Consultant or Business Analyst or an Industry Practitioner in US Healthcare Industry and related best practices.

Extensive experience in at least one or more of the industry segments & awareness of the latest business & industry trends
a. MEDICARE
b. MEDICAID
c. Plan & Product
d. Member
e. Claims
f. Clinical & Care Management
g. PBM - Pharmacy

Proficient in all phases of the System Development Life Cycle e.g. gathering requirements, modelling use cases, analyzing data, developing technical specifications, resolving issues, user acceptance testing, tracking schedules & tasks and documenting processes for training manuals.

Experience in driving meetings with client business leads & cross functional stakeholders.

Conversant with more visual, more design-thinking based, and more agile lightweight approaches such as customer personas, customer journeys, story maps, etc.

Excellent soft skills - written and verbal communication

Global exposure to a multi-cultural organization structure
Additional ResponsibilityBesides the professional qualifications of the candidates, we attach importance to personality traits. These include:

Design thinker with ability to think out of the box, with focus on customer orientation.

High degree of initiative and flexibility; adaptability to new environment & evolving nature of work

Strong analytical skills, inquisitiveness to acquire new skills and enhance personal knowledge.

Excellent Team player

Leading by example
Educational RequirementMBA,MCA,MTech,Bachelor of Engineering,BCA,BTech
Preferred SkillsDomain->Facets->Facets Configuration,Domain->Healthcare->Healthcare - ALL,Domain->Healthcare Payer->Claims Lifecycle,Domain->Healthcare->Payer->FACETS,Domain->Healthcare Payer->FHIR,Technology->Healthcare->EDI->EDIFECS
Service LineApplication Development and Maintenance