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Pega Business Analyst with Healtcare Domain.

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Innova Solutions

2024-09-20 19:40:36

Job location Atlanta, Georgia, United States

Job type: fulltime

Job industry: Consulting & Corporate Strategy

Job description

Innova Solutions is immediately hiring for a Sr. Pega Business Analyst

Position type: Fulltime OR Contract to Hire

Duration: 12+ Months

Location: Remote

As a Sr. Pega Business Analyst you will:

  • Work closely with business stakeholders to understand their objectives, challenges, and requirements.
  • Elicit, document, and analyze business requirements, ensuring they are clear, complete, and aligned with the organization's goals.
  • Conduct in-depth analysis of existing business processes, systems, and workflows to identify areas for improvement and optimization.
  • Collaborate with technical teams to translate business requirements into functional specifications and user stories.
  • Facilitate workshops and meetings to gather input, validate requirements, and obtain consensus among stakeholders.
  • Create and maintain detailed project documentation, including business requirements, use cases, process flows, and user acceptance criteria.
  • Perform gap analysis to identify discrepancies between current and desired states and propose solutions to address them.
  • Provide subject matter expertise to guide decision-making and support business process re-engineering efforts.
  • Participate in testing and quality assurance activities to ensure the delivered solutions meet business requirements.
  • Mentor and guide junior business analysts, providing them with support and knowledge-sharing opportunities.
  • Excellent analytical and problem-solving skills, with the ability to think critically and propose innovative solutions.
  • Strong understanding of business analysis methodologies, tools, and best practices.
  • Familiarity with Agile and Waterfall project management methodologies.
  • Experience in process mapping, work flow analysis, and business process modeling.
  • Proficiency in requirements gathering techniques and documentation.
  • Outstanding communication and interpersonal skills to collaborate with stakeholders at all levels.
  • Ability to work independently and as part of a cross-functional team in a fast-paced environment.
  • Detail-oriented and organized, with a focus on delivering high-quality work.
  • Relevant certifications such as CBAP (Certified Business Analysis Professional) are advantageous.

Job Description:

  • Strong BA Capabilities in understanding customer problem statements from business perspective and translating them to solve the solutions, enable technical team and collaborate with client stakeholders.
  • Able to analyze the data using Excel and SQL by connecting to Database like Oracle, Teradata, MS SQL
  • Able to review QA test cases and perform User Acceptance Testing
  • Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication, Provider Data Management,Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing
  • Having experience on tools Pega, TruCare, and Cotiviti QualInt is added advantage



The ideal candidate will have:

  • At least 7-10+ years of Business Analysis experience with at least 3+ years of health care (Payer) domain experience
  • US Health care Payer E2E Claims Adjudication, Provider Data Management,
  • Should have Pega experience.



Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.

Thank you!

Kiran Vajrala

Manager - Talent Acquisition

Innova Solutions

PAY RANGE AND BENEFITS:

Pay Range : $120k/yr to $125k/yr OR $60/hr to $65/hr on W2 Hourly

Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

  • One of Largest IT Consulting Staffing firms in the USA - Recognized as by Staffing Industry Analysts (SIA 2022)
  • ClearlyRated Client Diamond Award Winner (2020)
  • One of the Largest Certified MBE Companies in the NMSDC Network (2022)
  • Advanced Tier Services partner with AWS and Gold with MS

Website:

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at or . Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

American Cybersystems, Inc is acting as an Employment Agency in relation to this vacancy.

Inform a friend!

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