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

 

 

Apply now