Senior Business Analyst Insurance Billing & Commissions ORMB Jobs in USA, Remote | Rose International Job

Rose International

Atlanta, GA(remote)

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JOB DETAILS

SALARY

$45–$51 Per Hour

JOB TYPE

Temporary

SKILLS

Acceptance Testing, Accounts Receivable, Agile Programming Methodologies, Algorithms, Analysis Skills, Artificial Intelligence (AI), Backlog Prioritization, Best Practices, Billing, Business Analysis, Business Skills, Customer Support/Service, Data Mapping, Data Modeling, Data Processing, Debugging Skills, Documentation, Employee Benefits, Finance, Financial Control, Functional Analysis, Gap Analysis, Incident Management, Insurance, Leadership, Medical Billing, Mentoring, Operational Support, Oracle, Problem Solving Skills, Process Flow, Product Demonstration, Product Design, Product Pricing, Production Support, QA Partner Testing Software, Quality Assurance, Quality Metrics, Requirements Management, Revenue Management, Root Cause Analysis, SQL (Structured Query Language), Scrum Product Owner, Scrum Project Management and Software Development, ServiceNow, System Integration (SI), Technical Delivery, Technical/Engineering Design, Test Strategy, Testing, Traceability, User Interface/Experience (UI/UX), Work From Home

LOCATION

Atlanta, GA

POSTED

1 day ago

•**Only qualified Senior Business Analyst candidates with the ability to work REMOTELY from within the US to be considered for this role.***Required Education: Bachelor’s degree in a technical or related field (or equivalent practical experience)Required Skills, Experience, & Abilities: 5+ years of progressive experience delivering insurance or healthcare payer billing solutions, with strong emphasis on: Employee Benefits group billing, Premium based billing, Invoicing, adjustments, payments, and financial controls Hands on functional experience with Oracle Revenue Management and Billing (ORMB) across the full delivery lifecycle Deep expertise in insurance billing and revenue processes, including complex lifecycle and retroactive scenarios Strong ability to translate business needs into solution designs, functional specifications, and executable ORMB configurations Working knowledge of Oracle product data models and strong SQL skills for analysis and troubleshooting Proven experience leading workshops, stakeholder discussions, and complex decision making forums Experience working in Agile / Scrum / SAFe environments; comfort operating in hybrid models when needed Experience supporting production operations, including incident and problem management (e.g., ServiceNow)Preferred Skills, Experience & Abilities: Exposure to AI Frameworks for requirement analysis and story creation is preferredRole:We are seeking a Senior Business Analyst with deep functional expertise in insurance billing and commissions to lead the functional design and delivery of enterprise billing capabilities using Oracle Revenue Management and Billing (ORMB). This role serves as a key bridge between business and technology, partnering across Enrollment/Membership, Finance, Claims, and Customer Service to define target state billing capabilities, translate business needs into scalable ORMB solutions, and drive successful delivery across the full lifecycle. The ideal candidate brings strong domain knowledge in Employee Benefits group billing, hands on ORMB functional implementation experience, and the ability to operate as a trusted advisor to both business stakeholders and technical delivery teams.Responsibilities: Billing Strategy & Functional Design Lead current state assessments and future state design for insurance billing and revenue operations, includingo Group/member billingo Products, plans, and benefitso Premium calculation and ratingo Invoicing and bill compositiono Adjustments, payments, receivables, refunds, and GL integrations Own end to end ORMB functional requirements, includingo Product and pricing configurationo Billing rules and algorithmso Data model mapping between source policy systems and ORMB Perform gap analysis of current vs. target state, recommend solution alternatives, and drive design decisions with stakeholdersAgile Delivery & Stakeholder Partnership Partner closely with Business SMEs and Agile Product Owners (APO) too Elicit and document clear, testable requirementso Decompose Features into well defined User Stories with acceptance criteriao Lead and participate in product demos and design walkthroughs Actively contribute to backlog refinement, story definition, and solution alignment across Agile teams Provide hands on functional demos for business users and APOs as needed.Configuration, Testing & Quality Design and validate complex insurance billing scenarios, includingo Retroactive changeso Cancellations and reinstatementso Write offs, refunds, dunning, and collections Collaborate with QA and UAT teams to define comprehensive end to end billing scenarios and validate billing outcomes Partner with QA leadership to define testing strategy and ensure completeness and traceability of test coverage Analyze defects, perform root cause analysis, and drive sustainable fixes to reduce recurring issuesDocumentation & Integration Support Produce high quality functional and solution design documentation supportingo Integrationso Data conversionso Custom components (UI, algorithms, batch, and reporting) Develop end to end process flows and data flow diagrams to support upstream and downstream system integration Support production operations, including incident and problem management activities, as neededLeadership & Mentorship Mentor and guide junior analysts and team members on billing domain knowledge and ORMB best practices Promote delivery discipline, quality standards, and functional rigor across Agile teams **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.** Benefits: For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website. California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here. Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances. If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department. Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

About the Company

Rose International

Founded in 1993 by Sue Bhatia, Rose International is one of the nation's leading minority- and woman-owned providers of Staffing and Total Talent Solutions. We serve companies in all 50 states and employ thousands of people across the country.

COMPANY SIZE

2,500 to 4,999 employees

INDUSTRY

Staffing/Employment Agencies

WEBSITE

https://www.roseint.com/

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