Title: Senior Business Analyst (LTC Annuity and Life Insurance)
Location: PiscatawayNJ (Onsite)
Position type: W2 contract.
Mandatory skills: Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance Third Party Administration (TPA) TPA Health LOMA and CBAP certificated
Job Summary:
We are seeking an experienced Senior Business Analyst with deep expertise in Long-Term Care (LTC) insurance Third Party Administration (TPA) to join our dynamic team.
The ideal candidate will have a thorough understanding of LTC policy terms claim adjudication processes and US regulatory requirements.
This role requires excellent communication skills to collaborate effectively with cross-functional teams and stakeholders while adhering to Agile/Scrum methodologies.
The Senior Business Analyst will play a pivotal role in bridging the gap between business needs and technical solutions ensuring seamless delivery of LTC-specific systems and processes.
Key Responsibilities:
Domain-Specific Expertise and Analysis:
- Analyze and interpret LTC insurance policy terms benefit structures claim adjudication guidelines and compliance with US regulations.
- Conduct in-depth gap analysis to identify inefficiencies and improvement opportunities in LTC claims adjudication and benefit management processes.
- Assist in the development and validation of automated workflow solutions for LTC claims processing and benefit determinations.
- Facilitate the integration and rigorous testing of LTC-specific claims systems and third-party vendor platforms.
- Support customization and configuration of LTC policy rules to meet diverse client requirements.
- Serve as the principal liaison for domain-specific training documentation and knowledge transfer to internal teams and external stakeholders.
Requirements Gathering and Documentation:
- Elicit analyze and document comprehensive business functional and non-functional requirements specific to the LTC insurance domain.
- Develop clear process flow diagrams use cases wireframes and other visual aids to effectively communicate requirements.
- Prepare detailed requirement traceability matrices to ensure alignment and coverage throughout the project lifecycle.
Stakeholder Communication & Agile Collaboration:
- Facilitate effective communication between business stakeholders product owners and technical development teams to foster clear understanding and consensus on project requirements.
- Lead stakeholder interviews collaborative workshops and requirement gathering sessions to capture evolving business needs.
- Actively participate in Agile ceremonies including sprint planning daily stand-ups sprint reviews and retrospectives.
- Manage change requests with thorough analysis documentation updates and communication to all relevant parties.
- Provide ongoing support training and user adoption strategies post-implementation.
Quality Assurance & Testing Support:
- Collaborate with QA teams to define test cases informed by business requirements.
- Support system integration testing and user acceptance testing phases.
- Assist in defect triage tracking and resolution to ensure quality deliverables.
Project Management Support:
- Contribute to project planning activities including scope definition risk assessment and timeline estimation.
- Monitor project progress and provide status updates to leadership and stakeholders.
Continuous Improvement & Best Practices:
- Stay current with industry trends emerging technologies and best practices in LTC insurance and business analysis.
- Recommend process and system enhancements to improve operational efficiency compliance and customer satisfaction.
Qualifications:
- We are looking for onshore BA will 8-10 years of experience in insurance domain.
- Proven experience as a Business Analyst in the LTC Insurance TPA domain with strong knowledge of US regulations.
- Demonstrated ability to interpret LTC policy language and claims adjudication processes.
- Proficient in Agile/Scrum methodologies with experience working in functional and cross-functional teams.
- Exceptional communication skills capable of effectively engaging with technical teams and business stakeholders at all levels.
- Strong analytical thinking with proficiency in creating process flows use cases and wireframes.
- Experience supporting testing activities (system integration UAT).
- Adept at managing requirements traceability change management and stakeholder expectations.
- Ability to serve as a domain expert and trainer for LTC insurance processes.
Title: Senior Business Analyst (LTC Annuity and Life Insurance) Location: PiscatawayNJ (Onsite) Position type: W2 contract. Mandatory skills: Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance Third Party Administration (TPA) TPA Health LOMA and CBAP certificated...
Title: Senior Business Analyst (LTC Annuity and Life Insurance)
Location: PiscatawayNJ (Onsite)
Position type: W2 contract.
Mandatory skills: Business analyst in Annuity and Life Insurance with Long-Term Care (LTC) insurance Third Party Administration (TPA) TPA Health LOMA and CBAP certificated
Job Summary:
We are seeking an experienced Senior Business Analyst with deep expertise in Long-Term Care (LTC) insurance Third Party Administration (TPA) to join our dynamic team.
The ideal candidate will have a thorough understanding of LTC policy terms claim adjudication processes and US regulatory requirements.
This role requires excellent communication skills to collaborate effectively with cross-functional teams and stakeholders while adhering to Agile/Scrum methodologies.
The Senior Business Analyst will play a pivotal role in bridging the gap between business needs and technical solutions ensuring seamless delivery of LTC-specific systems and processes.
Key Responsibilities:
Domain-Specific Expertise and Analysis:
- Analyze and interpret LTC insurance policy terms benefit structures claim adjudication guidelines and compliance with US regulations.
- Conduct in-depth gap analysis to identify inefficiencies and improvement opportunities in LTC claims adjudication and benefit management processes.
- Assist in the development and validation of automated workflow solutions for LTC claims processing and benefit determinations.
- Facilitate the integration and rigorous testing of LTC-specific claims systems and third-party vendor platforms.
- Support customization and configuration of LTC policy rules to meet diverse client requirements.
- Serve as the principal liaison for domain-specific training documentation and knowledge transfer to internal teams and external stakeholders.
Requirements Gathering and Documentation:
- Elicit analyze and document comprehensive business functional and non-functional requirements specific to the LTC insurance domain.
- Develop clear process flow diagrams use cases wireframes and other visual aids to effectively communicate requirements.
- Prepare detailed requirement traceability matrices to ensure alignment and coverage throughout the project lifecycle.
Stakeholder Communication & Agile Collaboration:
- Facilitate effective communication between business stakeholders product owners and technical development teams to foster clear understanding and consensus on project requirements.
- Lead stakeholder interviews collaborative workshops and requirement gathering sessions to capture evolving business needs.
- Actively participate in Agile ceremonies including sprint planning daily stand-ups sprint reviews and retrospectives.
- Manage change requests with thorough analysis documentation updates and communication to all relevant parties.
- Provide ongoing support training and user adoption strategies post-implementation.
Quality Assurance & Testing Support:
- Collaborate with QA teams to define test cases informed by business requirements.
- Support system integration testing and user acceptance testing phases.
- Assist in defect triage tracking and resolution to ensure quality deliverables.
Project Management Support:
- Contribute to project planning activities including scope definition risk assessment and timeline estimation.
- Monitor project progress and provide status updates to leadership and stakeholders.
Continuous Improvement & Best Practices:
- Stay current with industry trends emerging technologies and best practices in LTC insurance and business analysis.
- Recommend process and system enhancements to improve operational efficiency compliance and customer satisfaction.
Qualifications:
- We are looking for onshore BA will 8-10 years of experience in insurance domain.
- Proven experience as a Business Analyst in the LTC Insurance TPA domain with strong knowledge of US regulations.
- Demonstrated ability to interpret LTC policy language and claims adjudication processes.
- Proficient in Agile/Scrum methodologies with experience working in functional and cross-functional teams.
- Exceptional communication skills capable of effectively engaging with technical teams and business stakeholders at all levels.
- Strong analytical thinking with proficiency in creating process flows use cases and wireframes.
- Experience supporting testing activities (system integration UAT).
- Adept at managing requirements traceability change management and stakeholder expectations.
- Ability to serve as a domain expert and trainer for LTC insurance processes.
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