We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan administration of self-funded client who excels in client interactions, and can collaborate effectively stakeholders to analyze, define and manage requirements for client or product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan Administration (Benefits & Claims Administration, Vendor integration) space. This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders.

Responsibilities:
- Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet project needs.
- Critically evaluate information gathered from multiple sources; reconcile conflicts; abstract up from low-level information to a general understanding; and distinguish requests from underlying true needs.
- Break down high level information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs.
- Analyze and document client's business requirements and processes; use and promote industry standard analysis techniques, such as data flow modeling, use-case analysis, workflow analysis, business process mapping,
- Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications.
- Presenting concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards.
- Forwards functional specifications to digital team members for design and solution development.
- Work within timeline and resource constraints provided by the Project Manager.
- Partner with stakeholders on requirements prioritization, solution approach and alternatives, and manage requirements changes to ensure developed solution conforms to business needs.
- Proactively identify areas of potential business risk, on projects both within and outside of control, make recommendations related to mitigation and escalate as necessary.

This position is a fulltime, direct opportunity with our Healthcare client who is offering a generous salary and benefits package. Ideal work location is Westbury NY (Long Island) with a hybrid schedule (3 days onsite). Alternatively, this position can be staffed remotely for candidates that reside in one of the following states: CO, CT, FL, GA, IL, MA, MD, MI, MN, MO, NC, NJ, NY, OH, PA, SC, TN, TX, WA.

Required Skills

- Bachelors degree is required. BA Certifications and or PMP is a plus.
- 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration.
- 4+ years of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder.
- Experience with SFTP, EDI X12 transactions 834, 837, 270/1 is a plus.
- Knowledge of "hours in take process"
- Ability to adapt to a fast pace, changing environment and to handle changing priorities and deadlines.
- Skilled at persuasive written and verbal communications that drive action or set strategic direction
- Proficient in Microsoft Office including Outlook, Excel, Visio, PowerPoint and Word.
- Knowledge of BA/ MS project Tools, JIRA, MS Project.
- Able to manage large scale initiatives.
- Skilled at large JAD type sessions and interviews and be able to document SMART requirements for consumption by technical teams.
- Need to have a commanding the room type personality to drive their work and facilitate conversations.
- Ability to manage multiple stakeholders from different business areas both technical and business.
- Familiar with assumptions, dependencies, defining what is in and out of scope.

Seeking candidates with the following expertise:
- Client implementations/client-facing related experience/vendor integrations (as a BA)
- Eligibility/Enrollment experience (retro enrollment and retro termination knowledge)
- Adjudication of Claims business logic
- Member communication in Commercial
- TPA/ ASO