Claims Business Analyst at Kforce Inc in New York, New York

Job Description:

RESPONSIBILITIES:

Kforce has a client in NYC that is seeking a Claims Business Analyst.

Summary:
The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, as well as ensuring proper integration with downstream systems for reporting purposes. Their role also includes planning and conducting User Acceptance Testing to guarantee that the systems meet the necessary specifications. Additionally, the Claims Business Analyst provides analytical support for various projects and initiatives aimed at enhancing the claims management processes within the organization.

Responsibilities:

• Lead requirements' definitions for complex projects and multi-year strategic initiatives


• Identify & translate business needs into clearly defined requirements


• Create Documentation inclusive of business use cases, process/data flows, traceability matrices, and report mock-ups


• Plan, facilitate, and conduct requirements' gathering sessions, meetings, and presentations


• Lead review sessions for completed business / functional requirements, with key business users focused on gaining consensus and final business approval


• Cultivate strong professional relations within business units to thoroughly understand business needs


• Collaborate with the development and testing teams to provide subject-matter expertise


• Assist in troubleshooting and resolving issues when out-of-the-box functionality is leveraged


• Ensure future solutions are efficient and effective across all business processes, while being consistent across products


• Participate in the development and planning of the User Acceptance Testing activities, including test plans and scripts, based on requirements; After the planning phase, facilitate the UAT execution phase


• Work with the business lead and project manager to obtain UAT signoff

REQUIREMENTS:

• BA/BS degree


• Certified Business Analyst Professional (CBAP) is a plus


• 7+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims


• Must have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional Workers' Compensation claims


• Extensive experience with integrating multiple vendors needed for Workers' Compensation claim handling


• Strong experience with claims management and medical bill review solutions


• Experience with iterative and agile methodologies, with working knowledge of both SDLC & PMLC processes


• Proven hands-on experience with creation of business process diagrams, data rules, business requirements, and functional requirements/user stories


• Possess knowledge and experience when reviewing, re-engineering, or developing IT solutions for business process / improvements automation


• Candidate has experience operating and interfacing with business management during walkthrough, interview, presentation, and negotiation processes


• Proven track record for creating clear, concise deliverables which reflect a deep understanding of business needs and software functionality


• Proven track record for Workers' Compensation system implementation and support


• Experience supervising small teams.


• Strong initiative with the ability to self-manage


• Comfortable with ambiguity and able to work through challenges to complete the objectives correctly


• Team player who works well with technical and business resources


• Able to see tasks through to completion without significant guidance


• Personal time-management skills and an ability to meet individual/team deadlines

The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.

We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.

Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless
and until paid and may be modified in its discretion consistent with the law.

This job is not eligible for bonuses, incentives or commissions.

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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