Job Description
Our client, a IT Services and Consulting company, is looking for a BA – Healthcare Specialist for their Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
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
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Remote, CA (Remote) |
| Industry | Management Consulting Services |
| Salary | $45–$50 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.
Skills
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