Demo

Business Analyst - Eligibility

Chelsoft Solutions Co
Boston, TX Full Time
POSTED ON 3/10/2025
AVAILABLE BEFORE 6/10/2025

Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 834 and proprietary eligibility COB and group files for various health plans. Responsibilities include but not limited to :

1. Be a selfstarter with the ability to work independently and with minimal oversight.

2. Quickly develop a comprehensive understanding of the business rules core platforms and applications for the data used in EDI exchanges.

3. Lead the design and implementation of innovative endtoend frameworks for processing eligibility exchanges ensuring they meet both business needs and industry standards.

4. Facilitate and lead discussions with plans and other stakeholders to identify and clarify requirements review UAT test cases and ensure alignment on project objectives and deliverables. communicating effectively throughout the process.

5. Develop comprehensive documentation outlining business rules process flows and technical specifications

6. Conduct multiple rounds of endtoend testing with strong prior experience in developing and performing test scenarios.

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