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HealthEdge Software Inc Senior Business Analyst in Frankfort, Kentucky


Overview :

TheSr.Business Analyst rolewithin the Source divisionofHealthEdgewill report directly to theManager of Business Analysisand engage withclients, businesspartnersandcolleagues in nearly every segment of thesprintlife cycle(Intake,Refinement,Development, QA,andTechnical Writing). This important role will help expand our capabilities and streamline our process to allow for betterfeature implementationand product improvement.Additionally, the Sr. Business Analyst is expected tomentormembers ofthe Business Analysis Center of Excellence via process-improvement subject matter expertiseand claimsworkflow knowledge.

What you will do:

  • Engaging both internally and externally to gather, analyze and document requirements of various types, packaging those requirements into usable formats and managingimplementation of those requirements throughout the development process.

  • Use yourtime-management, communication and relationship building skills to manage the input, routing, validation and implementation of requests, policy changes, data solutions and/or partnership integration items.

  • Using strong analytical, critical thinking and problem-solving skills you will executeother key responsibilities such as:

  • Assistscrum team and projectmanagers in task identification and managing of User Stories throughout the SDLC

  • Develop comprehensiveacceptance criteriafor all business requirements

  • Implement core Agile methodologies into requirements-validation lifecycle

  • Manage each assigned task and hold regular stakeholder meetings to keep all interested parties updated in task progress 

  • Act as liaison betweenclient operations and sprint delivery teams to escalate project risks,confirmcapacity expectations and manage priority shifts

  • Communicatesprint-related bandwidth management and the prioritization of work items

What you bring:

  • Bachelor’s degree in a business administration, healthcare administration, computer science, or related fields from an accredited college or university

  • 5+ years of work experience as a Business Analyst, preferably in a software development or IT consulting environment

  • 2+ years of experience in a health care or regulatory environment

  • 5+ years of experience in aproductdevelopment environment with emphasis in theRegulatory Compliance,Requirement Analysis, Planning and Testing phases

  • Above average expertise in Microsoft Word, Excel, PowerPoint, and Visio

  • Experience with engaging clients on subject matters related to Medicare and/or Medicaid payment policies, data, andsoftware

  • You come from a software development background with a unique addition of healthcare administration/medical reimbursement/payment knowledge (claims processing, clinical coding, claims adjudication, contracts management in healthcare).

  • We realize that is a bit of a purple unicorn, and if that is you, great, we love unicorns.

  • If that is not you, we still want to hear from you if you have product development experience/knowledge and a curiosity for learning new things and willing to take the initiative to absorb as much domain knowledge as possible.

  • To succeed in this role, it will be critical that you bring flexibility, initiative, planning, organizing, analytical and strategic problem-solving skills to the table. 

Bonus Points :

  • Knowledge of Medicare and/or Medicaid reimbursement methodologies (PPS, DRG, APC, RBRVS, etc.)

  • Knowledge of CPT/HCPCS, NDC, and ICD coding standards

  • Experience with User Acceptance Testing (UAT)

  • Base-level understanding of relational database management systems (SQL Server, Oracle, etc.) 

  • Experience with software project tracking and change management tools (JIRA,Targetprocess, etc.)

  • Experience with business intelligence (BI) tools (MicroStrategy,QlikSense, Tableau, Oracle BI)

  • Experience withcreating user interface (UI) mockups and wireframes

  • Exposure to scripting or programming languages

The Source team is part of the largerHealthEdgeorganization and hasa team of engineers, designers, policy analysts, data scientists, and business leaders who believe thoughtful technology can transform the flow of resources in the American healthcare system.We area small team solving a big problem in a system that affects millions of people every day.Hereyouwill join forces with some of the brightest minds intechnology,healthcare,directlyinfluencing our day-to-day decisions.Your Contributions Truly Matter. We are a growing company, soyou willbe given plenty of creative freedom and the opportunity to thrive–everythingyou do will count. We look forward to hearing from you.

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: WhileHealthEdgeis located inBurlington, MA you may live anywhere in the U.S.

Type of Employment: Full-time, permanent

FLSA Classification (USA Only): Exempt

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

  • Work across multiple time zones in a hybrid or remote work environment.

  • Long periods of time sitting and/or standing in front of a computer using video technology.

  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.


Job Locations US-Remote

ID 2023-1876

Category Hidden (29000)

Position Type Full-Time

HealthEdge provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.