Senior Business Analyst - Medicare

Job Summary

A company is looking for a Senior Business Analyst - Medicare Claims & Appeals Programs.

Key Responsibilities

• Apply Medicare claims and appeals domain knowledge to ensure business requirements align with operational and regulatory requirements
• Perform business case development and detailed requirements analysis
• Lead requirements gathering and facilitation sessions to ensure requirements are accurate, complete, and clearly defined

Required Qualifications

• Experience performing business case development and detailed requirements analysis
• Demonstrated experience supporting Medicare claims operations, including claims intake and adjudication
• Experience developing use cases, user stories, and functional documentation
• Experience working within agile frameworks
• Bachelor's degree (BS/BA) required; equivalent applicable experience may be considered