Business Analyst - Claims (remote)

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Job Summary

We are seeking a skilled Business Analyst with 3 to 5 years of experience to join our team. The ideal candidate will have a strong grasp of technical business logic and be adept at working with various stakeholders. This role involves capturing business logic, workflows, and translating them into comprehensive business documents and flow diagrams. The candidate should be dynamic, adaptable, and capable of collaborating with application development and cloud computing teams. Experience in the healthcare domain, particularly in claims processing, is essential.

Job Roles And Responsibilities

• Conduct meetings with business stakeholders to gather and negotiate customer requirements, ensuring the project team can develop solutions that meet the customer's real needs.
• Manage multiple priorities, customer expectations, and relationships with all stakeholders, including offshore IST staff, while participating in agile ceremonies.
• Gather input from developers and other technical staff to determine project scope and provide effort estimates, ensuring alignment with agile methodologies.
• Work with the project team to develop cost-effective, customer-focused solutions, incorporating feedback from retrospectives.
• Conduct walkthroughs with applications development staff as a handoff from analysis to development in the project lifecycle, while maintaining necessary documentation.
• Collaborate with applications development staff during the technical design, programming, unit-testing, and implementation stages, supporting sprint execution.
• Coordinate changes to functional specifications during development and update them as required, ensuring continuous improvement within the team.
• Adapt to the dynamic nature of projects, adjusting plans and priorities as project progress and requirements evolve.
• Support customer training efforts for end users and staff members, incorporating best practices.
• Ensure compliance with HIPAA regulations and requirements, while adhering to agile best practices.
  
  

Job Scope

The incumbent works under minimal direction, using independent judgment to identify issues, trends, and problems, recommend action plans, and evaluate results on projects that may not be clearly defined and are large in scope. The work is varied and complex, requiring a broad range of knowledge gained through experience. The position involves working with internal and external sources to complete objectives, prioritizing the needs of customers when making decisions and action.

Compensation

The salary range for this position is $105K to $115K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

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JOB REQUIREMENTS (Education, Experience, And Training)

• 3 to 5 years of business analysis experience in software development projects, preferably within a Project Management Organization.
• Understanding of the healthcare industry and claims processing workflows.
• Familiarity with Agile methodologies and best practices for requirements management.
• Required familiarity with Jira, including writing Jira story formats and understanding its issue types.
• Hands-on experience with SharePoint or Confluence is preferred.
• Experience with MS Visio or equivalent diagramming software is required.
• Strong business analysis, system analysis, and project management skills, with the ability to apply best practices to various situations.
• Excellent verbal and written communication skills, including effective presentation skills and the ability to respond to questions from internal and external customers.
• Strong analytical, organizational, interpersonal, prioritization, multi-tasking, and technical skills.
• Proficiency with software and peripherals related to job responsibilities.
• Ability to facilitate teams and client relationships to meet needs, identify improvements, and develop strong relationships with all levels of management.
• Commitment to excellent customer service and follow-through.
• Ability to manage multiple simultaneous projects, continuously evaluating and re-ordering priorities as business needs dictate.
• Flexibility and creativity in problem-solving and identifying process improvements.
• Ability to anticipate business needs, think with a business owner mindset, and apply project management, business analysis, and system analysis best practices to various situations.
  
  

Benefits

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your Benefits Will Include

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) match
• Employee Stock Purchase Plan
• Generous Paid Time Off - accrued based on years of service
• WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Summer Hours
• Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
  

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.

APPLICATION DEADLINE

We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.