Aegistech · 3 weeks ago
Healthcare Insurance Business Analyst
Aegistech is seeking a healthcare insurance business analyst with expertise in prior authorizations or specialty pharmacy. The role involves collaborating with various departments to ensure customer requirements are met and documented effectively while managing the functional requirements documentation process.
Responsibilities
Work with other departments to ensure that the customer’s business requirements are accurately incorporated into the product in a timely manner
Work with account managers and technical lead(s) to gather business requirements from customers. This includes but is not limited to meeting with customer operations to understand and document their current process, gaps, and needs
Work with technical lead(s) to come up with a solution(s) for the identified gaps. This includes but is not limited to meetings; brainstorming while re-creating scenarios in the application; impact analysis for identified requirements
Work with the account manager and customer to get clarifications identified during the design process. Manage Functional Requirements Documentation Process
Document proposed solution(s) in a functional requirement document (FRD) for the customer and developers to use
Participate in follow-up calls regarding the FRD
Provide the customer and developers with required updated to the FRD
Participate in FRD walk-throughs conducted by the technical leads. Actively identify gaps not addressed in the FRD or missed by the developers
Test FRD changes in a test region. Coordinate between account manager, the customer (business operations as well as end-users), technical leads, and other departments in the analysis, design, configuration, testing, and maintenance to ensure optimal operational performance
Work on assigned projects with respect to global enhancements
Work on document creation for customer and account management use
Some overnight travel to customer sites is required (up to 2 times per year)
Qualification
Required
Bachelor's Degree required
2-4 years of experience in a role working with health plans, PBM, specialty pharmacy or a department that has worked with prior authorization and claims
Comfortable with being managed remotely. Prior experience in a similar role is a plus
Experience working with MS-Office products
Authorized to work in the USA, without Sponsorship or Restrictions