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.

 

Title: Healthcare
Insurance IT Business Systems Analyst

Location:
Newark, NJ 

Job
Type:
Full Time

 

Overview:

Capgemini is seeking a Business System
Analyst who can create requirement documents and other needed deliverables as
well as providing subject matter expertise to Healthcare Products, EDI, Claims Processing
and Claims Pricing related initiatives.Resource will have direct interaction
with Senior IT Leadership, Operational Business Owners, third party development
vendors, and internal IT development departments.

Job
Details:

The Resource must have exceptional
communication skills. He/She must be able to effectively convey 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 in Healthcare Lines of Business, Products, Claims
Processing, Claims Pricing, EDI and Mandates experience.

Primary deliverables and activities for
this position may include, 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

 

Required experience:

 

  • 5–7 years of experience as a business system analyst is
    required
  • 4+ years of experience in the health insurance industry
    is required.
  • Should be extremely proficient in Claims Processing and
    Claims Pricing
  • Should be extremely proficient in Healthcare Products
    and Benefits
  • Should be extremely proficient EDI (834 Claim
    Enrollment Transactions)
  • NASCO experience preferred
  • Knowledge of federal exchange
  • Portal knowledge preferred

 

Required skillset

 

  • Excellent Communication skills
  • Excellent Soft skills
  • Excellent BSA skills

 

Preferred:

 

  • Excellent Communication and presentation skills.
  • Prior experience working in a group setting.
  • Prior experience working in a challenging, fast paced,
    high pressure  environment
  • NASCO experience
  • Experience working on Portals preferred
  • Experience with working in multi-vendor environment is
    preferred