Senior Technical Business Analyst

Hi,
Our client is looking Business Process SME (Provider Data Management) / Chief of Staff --for Brunswick, NJ project and below is the detailed requirement.

Job Title : Business Process SME (Provider Data Management) / Chief of Staff
Location : Brunswick, NJ

Job Description:

• Bachelor's degree in Information Systems, Business Administration, Computer Science, or related field.
• 15+ years of healthcare payer experience.
• 10+ years focused on Provider Data Management and Provider Operations.
• Strong understanding of payment and reimbursement methodologies including capitation and risk-based models.
• Hands-on experience with Provider onboarding, Credentialing and recredentialing, Provider contracting, Provider directory management, Provider maintenance operations, Provider network management
• Strong understanding of payment and reimbursement methodologies including capitation and risk-based models.
• Experience working with provider lifecycle management processes and systems. Provider lifecycle processes including intake, credentialing, contracting, provider data updates, recredentialing, pricing configuration, and rate loading are foundational capabilities in payer provider operations.
• Experience gathering business requirements and translating them into operational and system solutions.
• Strong documentation, communication, and stakeholder management skills.