Note: The job is a remote job and is open to candidates in USA. Pyramid Consulting, Inc. is hiring a Business Analyst III for a contract opportunity in the healthcare industry. The role focuses on business process and data analysis, requirements gathering, user acceptance testing, process improvement, data migration, and collaboration with cross-functional teams supporting the ABS Migration Program.
Responsibilities
- Schedule: Monday–Friday, 8:00 AM–5:00 PM EST or CST
- Perform analysis and interpretation to link business needs and objectives for assigned functions
- Support business initiatives through data analysis and identification of implementation barriers
- Support user acceptance testing of various systems
- Identify and analyze user requirements, procedures, and problems to improve existing processes
- Perform detailed analysis on multiple projects
- Recommend potential business solutions and support successful implementations
- Identify opportunities to enhance performance management and operational reports
- Coordinate with various business units and departments in the development and delivery of training programs
- Develop, share, and incorporate organizational best practices into business applications
- Diagnose problems and identify opportunities for process redesign and improvement
- Formulate and update departmental policies and procedures
- Serve as a subject matter expert on the assigned function/product to support operational performance
- Support requirements gathering, process analysis, impact assessments, data migration activities, testing, and operational readiness for the ABS Migration Program
- Collaborate with Health Plans, Operations, IT, Product, Finance, Compliance, Member and Provider Services, and external vendor partners
Skills
- **Must have;** Business Process Analysis – 4 years
- Requirements Gathering & Documentation – 4 years
- Healthcare / Managed Care Experience
- Claims, Benefits, Encounters, Medicare, Medicaid, or Provider Data Experience
- Data Analysis & User Acceptance Testing (UAT)
- Process Improvement / Business Solution Analysis
- **Business Process Analysis** – Strong experience analyzing business processes, identifying issues, and recommending process improvements
- **Requirements Gathering & Documentation** – Experience gathering, documenting, and analyzing business requirements and processes
- **Healthcare / Managed Care Experience** – Experience in healthcare, managed care, claims, benefits, encounters, Medicare, provider data, or related healthcare functions
- Bachelor's degree in a related field or equivalent experience
- **4–6 years of business process or data analysis experience**, preferably in healthcare
- **4 years of business process analysis experience**, including documenting business processes and gathering requirements
- Healthcare, managed care, claims payment, or data analysis experience depending on the assigned function
- Experience with benefits, pricing, contracting, or claims, depending on assigned function
- Managed healthcare experience, preferably Medicare, for Medicare-focused functions
- Experience managing projects with a high reliance on technology
- Data Analysis
- User Acceptance Testing (UAT)
- Process Improvement
- Data Migration
- Data Integration
- SQL Scripting
- Agile
- Claims / Benefits / Encounters
- Medicare
- Provider Data
- Member & Provider Solutions
- Project Management
- Project management experience preferred
- Knowledge of provider reimbursement methodologies preferred
- Experience with encounters or claims business analysis preferred
- Knowledge of HIPAA transactions, including **837, 999, 824, and 277**, preferred
- SQL scripting knowledge preferred
- Knowledge of data migration preferred
- Knowledge of software enhancement/planning preferred
- Agile knowledge preferred
- Knowledge of data integration preferred
- Previous structured testing experience preferred
Benefits
- Health insurance (medical, dental, vision)
- 401(k) plan
- Paid sick leave (depending on work location)
Company Overview
Company H1B Sponsorship