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BA – Healthcare Specialist

ICONMA

Role overview

Qualifications

  • Healthcare Payer
  • Healthcare Domain Knowledge
  • Health Insurance Operations
  • Claims Adjudication

Responsibilities

  • Facilitate Business Process Assessment (BPA) sessions and serve as the BPA lead for SHP project workstreams
  • Evaluate existing healthcare business processes and organizational workflows
  • Conduct process discovery workshops and stakeholder interviews
  • Document current-state and future-state processes using process maps and workflow documentation

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our client, a IT Services and Consulting company, is looking for a BA – Healthcare Specialist for their Remote location.
 
Responsibilities:
  • Healthcare Business Process Analyst Responsibilities
  • Facilitate Business Process Assessment (BPA) sessions and serve as the BPA lead for one or more SHP project workstreams.
  • Evaluate existing healthcare business processes, operating procedures, and organizational workflows.
  • Conduct process discovery workshops and stakeholder interviews to gather, analyze, and validate business requirements.
  • Document current-state and future-state processes using process maps, swim lane diagrams, and workflow documentation.
  • Identify process bottlenecks, operational inefficiencies, risks, and control gaps, and perform root cause analysis.
  • Recommend and drive process improvements, automation opportunities, standardization initiatives, and corrective actions.
  • Collaborate with business, operations, and technology teams to improve process effectiveness, operational efficiency, and service quality.
  • Present process findings, recommendations, and transformation roadmaps to leadership and key stakeholders.
  • Support digital transformation, business process automation, workflow modernization, BPM, and AI-enabled initiatives.
  • Participate in solution implementation, User Acceptance Testing (UAT), and operational readiness activities to ensure successful adoption and transition.
  • Develop and maintain:
  • Business Process Documents
  • Standard Operating Procedures (SOPs)
  • Workflow Diagrams
  • Business Rules Documentation
  • Decision Trees
  • Process Metrics and KPIs
  • Ensure process artifacts remain current and comply with organizational standards.
 
Requirements:
  • Must have Skills: Healthcare Payer
  • Good to have skill: Facets/ ALM experience /Jira
  • Healthcare Domain Knowledge
  • Health Insurance Operations
  • Claims Adjudication
  • Prior Authorization
  • Member Services
  • Provider Network Management
  • Medicare & Medicaid Programs
  • Healthcare Regulatory Requirements
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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