Req ID: 109698

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Senior Business Analyst – Healthcare to join our team in Wellesley, Massachusetts (US-MA), United States (US).

Day to Day Responsibilities:

  • Work with business users to define and analyze problems and align the most appropriate technical, application or configuration solutions.
  • Provide oversight of business requirement/specification maintenance via workflow system in accordance with customer deliverables.
  • Solicit, develop, document and manage requirements and provide detailed design and business rules to support the requirements throughout project life cycle up to and through change control.
  • Ensure that documentation is updated when change requests are approved for the project. Consider the business implications of the application of technology to the current and future business environment.
  • Review system test plans and system tests modules before implementation.
  • Work with the user to select or create appropriate scenarios to test all results to determine whether system changes met project specifications; use scenarios to assist the end user in acceptance testing.
  • Conduct business process analyses, needs assessments, and preliminary cost/benefits analyses in an effort to align information technology solutions with business initiatives.
  • Interprets business system configuration requests, and assigns to configuration staff in accordance with provider/employer contracts, and customer needs.
  • Interacts with vendors and clients to determine innovative technical solutions to workflow implementation issues.
  • Provides consultative services by actively participating on numerous cross-functional teams and projects, as well as troubleshooting inquiries and issues from multiple business owners.
  • Resolves software and data issues and investigates accuracy of user transactions and their effects on the workflow system.
  • Administers the data/configuration maintenance of system parameters, specifications, and data linkages to other systems involved in SOA component-based architecture.
  • Researches complex problems to ascertain possible solutions.
  • Design and implement solutions to support key business objectives, including developing design requirements and technical specifications.
  • Develops, maintains, and disseminates internal and external system documentation, including status updates; prepares procedural and customer documentation when required.
  • Provides technical guidance and influences the work of others involved in system configuration solutions.
  • Consider the business implications of the application of technology to the current and future business environment

Basic Qualifications:

  • 3 + years Healthcare insurer industry experience, with business knowledge of benefits, claim systems, and adjudication principles.
  • 5+ years of advanced knowledge of system development methodology, project management, system architecture and business analytical/problem solving skills.

Nice to Have:

  • Experience with medical claim business system software.
  • Solid knowledge of medical and/or benefit policies, provider contract and/or employer plan designs, professional and facility claim processing, and medical terminology and industry standard code sets (CPT-4, ICD-9-CM, ICD-10, etc.)
  • Knowledge of enrollment or claims EDI transactions and file formats (834, 837, 835, 270, 271), familiarity and experience with data mapping desired.
  • Agile experience a plus.
  • Must be able to manage multiple assignments, independently determine solutions, and anticipate/prevent potential problems.
  • Strong analytical, organizational, interpersonal and communication skills.
  • Proficiency in Microsoft Excel, and extensive use of data query logic.SQL experience is a plus.
  • Project lead experience.



About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law. – provided by DiceTracking

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