Healthcare Insurance IT Business Systems Analyst

About Capgemini <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

With more than 170,000 people in over 40 countries, Capgemini is one of the world's foremost providers of consulting, technology and outsourcing services. The Group reported 2014 global revenues of EUR 10.5 billion. Together with its clients, Capgemini creates and delivers business and technology solutions that fit their needs and drive the results they want. A deeply multicultural organization, Capgemini has developed its own way of working, the Collaborative Business ExperienceTM, and draws on Rightshore®, its worldwide delivery model.

Learn more about us at http://www.capgemini.com/ .

 

Rightshore ® is a trademark belonging to Capgemini

Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, sexual orientation, genetics, veteran status, marital status or any other characteristic protected by law.

  

Healthcare Insurance IT Business Systems Analyst

 

Job Description:-

Capgemini is seeking a Business System Analyst to write requirement documents and other needed deliverables as well as providing subject matter expertise to Healthcare Reform related initiatives.  This position will be interacting with the Office of Health Care Reform, Operations Business Owners, third party development vendors, and internal IT development departments responsible for integration, reporting, membership and billing, claims adjudication, etc.

 

Responsibilities:

Business Requirements Documents

Technical Requirements Documents

Solution Options Document

Requirements Traceability Matrix

Use Cases

Test Plans/Test Cases

Activity Diagrams

Process Flows

High Level Solution Diagrams (short of architecture)

Gap Analysis

Defect/Root Cause Analysis

Conducting JAD sessions

UML

Data Mapping Documents

 

Experience:

5 – 6 years of experience as a business system analyst is required

3 - 4 years of experience in the health insurance industry is required

Should be extremely proficient in Health Care product types

Should be highly knowledgeable regarding various health care provider types

Affordable Care Act implementation experience preferred

Blues experience preferred, including ITS knowledge

Mandate experience (BCBSA, Federal, State)

NASCO experience preferred

MetaVance experience preferred

Medicare/Medicaid knowledge proficiency

Excellent communication and presentation skills required.

Expertise in Summary of Benefit Coverage and Portals is required.

  

Location: Newark, NJ