Lead Business Analyst with Medicare insurance domain

We are

At Synechron we believe in the power of digital to transform businesses for the better. Our global consulting firm combines creativity and innovative technology to deliver industry-leading digital solutions. Synechrons progressive technologies and optimization strategies span end-to-end Artificial Intelligence Consulting Digital Cloud & DevOps Data and Software Engineering servicing an array of noteworthy financial services and technology firms. Through research and development initiatives in our FinLabs we develop solutions for modernization from Artificial Intelligence and Blockchain to Data Science models Digital Underwriting mobile-first applications and more. Over the last 20 years our company has been honored with multiple employer awards recognizing our commitment to our talented teams. With top clients to boast about Synechron has a global workforce of 16850 and has 60 offices in 20 countries within key global markets.

We are:-
We are seeking an experienced Senior Business Analyst with strong expertise in the Medicare insurance domain. The ideal candidate will have a solid understanding of Life Annuity and Health insurance products and their sub-types. You will play a key role in analyzing business needs documenting requirements and supporting processes such as claims processing claim adjudication policy administration new business and underwriting to help us deliver efficient Medicare solutions.

Additional Information*

The base salary for this position will vary based on geography and other accordance with law the base salary for this role if filled within Piscataway NJ is $115k - $125k/year & benefits (see below

Key Responsibilities:

• Gather analyze and document detailed business requirements for Medicare Life Annuity and Health insurance products and their sub-types.
• Understand and map core processes including claims processing claim adjudication policy administration new business setup and underwriting workflows.
• Collaborate with stakeholders like claims teams underwriters policy administrators and compliance officers to ensure business needs are met.
• Translate business requirements into clear detailed functional specifications workflows and use cases.
• Identify opportunities to improve processes workflows and systems for better efficiency and compliance.
• Support the design testing and implementation of new or enhanced systems and processes.
• Ensure all solutions adhere to Medicare regulations industry standards and best practices.
• Act as a liaison between technical teams and business units facilitating effective communication.
• Provide expertise on claim workflows policy lifecycle management underwriting and product features.
• Assist in User Acceptance Testing (UAT) stakeholder training and rollout activities.
• Keep up-to-date with industry trends regulatory changes and best practices in Medicare and insurance domains.
• Collect and analyze business requirements from stakeholders including healthcare providers insurance companies and regulatory bodies.
• Identify areas for operational efficiency and recommend improvements in healthcare insurance processes.
• Analyze healthcare and insurance data to identify trends risks and opportunities for cost savings and quality enhancement.
• Create detailed documentation such as business requirements functional specifications and process flows.
• Ensure that insurance processes comply with healthcare regulations and standards such as HIPAA.
• Act as a liaison between technical teams management and external stakeholders.
• Assess the effectiveness of new insurance products systems and processes.
• Support project planning execution and monitoring activities related to healthcare insurance projects.
• Assist in the integration of new healthcare insurance systems and technologies.

Qualifications:

• Bachelors or Masters degree in Business Healthcare Insurance or related fields.
• Proven experience as a Business Analyst in the Medicare insurance domain or similar healthcare insurance sectors.
• Good understanding of Life Annuity and Health insurance products and their sub-types.
• Hands-on experience with claims processing claim adjudication policy management underwriting and new business processes.
• Knowledge of Medicare regulations policies and compliance requirements.
• Experience working with insurance management systems and core platforms.
• Develop use cases user stories and functional specifications for system development.
• Strong understanding of healthcare insurance processes policies and regulations (e.g. HIPAA).
• Excellent analytical problem-solving and critical-thinking skills.
• Proficiency in requirements gathering process modeling and documentation.
• Experience with healthcare data analysis and reporting tools.
• Familiarity with healthcare IT systems Electronic Health Records (EHR) and insurance management software.
• Strong interpersonal and communication skills to liaise with stakeholders at all levels.
• Project management skills and familiarity with Agile/Scrum methodologies are advantageous.

Preferred Skills:

• Business Analysis certifications (CBAP CCBA or equivalent).
• Experience with Agile/Scrum methodologies.
• Proficiency in data analysis reporting and process modeling tools.
• Strong stakeholder management and presentation skills.

We offer:

• A highly competitive compensation and benefits package.
• A multinational organization with 60 offices in 20 countries and the possibility to work abroad.
• 10 days of paid annual leave (plus sick leave and national holidays).
• Maternity & paternity leave plans.
• A comprehensive insurance plan including medical dental vision life insurance and long-/short-term disability (plans vary by region).
• Retirement savings plans.
• A higher education certification policy.
• Commuter benefits (varies by region).
• Extensive training opportunities focused on skills substantive knowledge and personal development.
• On-demand Udemy for Business for all Synechron employees with free access to more than 5000 curated courses.
• Coaching opportunities with experienced colleagues from our Financial Innovation Labs (FinLabs) and Center of Excellences (CoE) groups.
• Cutting edge projects at the worlds leading tier-one banks financial institutions and insurance firms.
• A flat and approachable organization.
• A truly diverse fun-loving and global work culture.

S YNECHRONS DIVERSITY & INCLUSION STATEMENT

Diversity & Inclusion are fundamental to our culture and Synechron is proud to be an equal opportunity workplace and is an affirmative action employer. Our Diversity Equity and Inclusion (DEI) initiative Same Difference is committed to fostering an inclusive culture promoting equality diversity and an environment that is respectful to all. We strongly believe that a diverse workforce helps build stronger successful businesses as a global company. We encourage applicants from across diverse backgrounds race ethnicities religion age marital status gender sexual orientations or disabilities to apply. We empower our global workforce by offering flexible workplace arrangements mentoring internal mobility learning and development programs and more.

• All employment decisions at Synechron are based on business needs job requirements and individual qualifications without regard to the applicants gender gender identity sexual orientation race ethnicity disabled or veteran status or any other characteristic protected by of Excellences (CoE) groups.
• Cutting edge projects at the worlds leading tier-one banks financial institutions and insurance firms.
• A flat and approachable organization.
• A truly diverse fun-loving and global work culture.

SYNECHRONS DIVERSITY & INCLUSION STATEMENT

Diversity & Inclusion are fundamental to our culture and Synechron is proud to be an equal opportunity workplace and is an affirmative action employer. Our Diversity Equity and Inclusion (DEI) initiative Same Difference is committed to fostering an inclusive culture promoting equality diversity and an environment that is respectful to all. We strongly believe that a diverse workforce helps build stronger successful businesses as a global company. We encourage applicants from across diverse backgrounds race ethnicities religion age marital status gender sexual orientations or disabilities to apply. We empower our global workforce by offering flexible workplace arrangements mentoring internal mobility learning and development programs and more.

All employment decisions at Synechron are based on business needs job requirements and individual qualifications without regard to the applicants gender gender identity sexual orientation race ethnicity disabled or veteran status or any other characteristic protected by law.

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