Healthcare Insurance IT Business Systems Analyst

About
Capgemini

With more than 180,000 people in over 40 countries,
Capgemini is one of the world's foremost providers of consulting, technology
and outsourcing services. The Group reported 2015 global revenues of EUR
11,915  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.

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 and Security/Infrastructure
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. 

Title:
Healthcare Insurance IT Business Systems Analyst

Resource will have direct interaction with Senior IT
Leadership, Operational Business Owners, third party development vendors, and
internal IT development departments.

Must be an exceptional communicator who effectively
conveys verbal and written information in a clear and concise manner.  Resource must be self motivated with a high
regard for accountability of their work and able to motivate stakeholders to
drive outcomes.  Will require a proven
ability to organize, lead, and execute necessary decisions while operating
under pressure in complex situations. The individual must be a resourceful team
player and excel at building trusted relationships with stakeholders.  

Dependable, responsible contributor committed to
excellence and success.

Extensive knowledge and business acumen of the health
insurance industry.  Optimal resource
will have experience leading and implementing government regulated products,
preferably DSNP and Medicare Part D. 

Primary deliverables and activities for this position may
included, although not limited, to the following:

Business Requirements Documents

Technical Requirements Documents

Requirements Traceability Matrix

Gathering and preparing solution based estimates

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:

Minimum 6 years experience as a business system analyst
is necessary

Greater than 4 years of experience in the health
insurance industry is required

Should be extremely proficient in Health Care product
types

Should be highly knowledgeable of government regulated
products such as Medicare Part A, B, C, and D, as well as Medicaid. 

Commission’s payment experience is positive.

Mandate experience (BCBSA, Federal, State)

Facets experience preferred

Experience with claims Authorization (CareRadius as a
tool) is preferred.

Experience with working in multi-vendor environment is
preferred.
 

Location:
Ewing, NJ