Job Description

Job Title: Technical Business Analyst III
Fulltime - with Infinite Computer Solutions
Healthcare

Responsibilities

10+ years of experience in the Healthcare Payer domain.
Experience implementing or supporting Commercial Claims and/or Medicare/Medicaid claims systems.
Strong knowledge of claims processing, provider/member enrollment, care management, and claims adjudication.
Familiarity with healthcare code sets such as CPT, CDT, HCPCS, and ICD.
Experience configuring benefits/programs within claims systems.
Gather, analyze, and document business requirements; ensure adherence to requirement management processes.
Collaborate with clients, business stakeholders, developers, architects, and QA teams to deliver optimal solutions.
Basic understanding of web services, relational databases, SQL queries, system analysis, and root cause analysis (RCA).
Create interface mapping documents, including business rules, data transformations, and database mappings.
Support development lifecycle through demos, feedback tracking, and requirement clarification.
Contribute to GUI and platform design discussions.
Excellent written and verbal communication with the ability to manage multiple stakeholders.

Preferred Skills

Strong analytical and problem-solving skills with an innovative mindset.
Prior experience as a Healthcare IT QA or Developer is an advantage.
Ability to review test scenarios, test plans, test data, and Requirements Traceability Matrix (RTM).
Understanding of product enhancements based on market trends and regulatory requirements.
Experience translating business needs into product features for technical teams.

Tools (Preferred)

Technical Business Analyst

Quick Overview