Business Analyst (US Healthcare)

Roles and Responsibilities

We are a healthcare IT company focusing on US healthcare. With the pace of the growth, comes the need for bright people to keep the engine revving. We are looking for people who want to grow with the organization, have the healthcare domain expertise and understanding of how technology works. If you are looking for the thrill that comes with wins and the curiosity to learn newer domains in healthcare, the rest of the details might excite you! Comfort zone is a damn good place. Unfortunately, nothing grows there. So if you value it too much, the rest might scare you. Here are a few things you will find yourself doing in this role. You would be studying new markets within healthcare and figuring out ways to enter those. Yes, we mean crafting value propositions!! If you are interested in exploring depths of healthcare, let’s talk. • Kick-starting accounts:- As you might already have expertise in certain areas of healthcare, we would like you to put that to use. You would be engaging with the customers directly, setting up the necessary framework/processes and starting new accounts. This obviously requires unquestionable expertize in the relevant area. Within 2-3 months, you would hand-over the account to another Business Analyst who would run the show from thereon. • Contribute to Marketing:- There need to be ways to measure learning for it to be effective and complete. We think the best judge of that is the audience. You would be generating content based on your understanding of various areas and aspects of US healthcare and publishing it. The idea would be to get the relevant audience interested in those and get them to talk to us. Feels daunting?? Challenging things always are! • Craft solutions:- We do understand that you may not be a tech whizz However, an ability to understand the how behind the what is what we like. So if you have an inventor mind-set, you might fit right in. Based on understanding of the customer requirements, you would be creating solutions that delight end-users. Estimation, planning and coordination will obviously accompany your objectives. • Enabling sales:- The best kind of learning happens when you are in the field. Talking to customers imparts you knowledge of market reality for which there aren’t many substitutes. In this role, you would be interacting with the prospects during sales calls to understand their challenges, needs and context. This will enable you to craft meaningful solutions later. • Execution:- After you kick-start the project, you would be creating user stories through interactions with the customers. You would also be grooming the development teams on those. As you gain a good grip on the account and after a few smooth sprints, you would transition the knowledge to another BA who would take up your responsibilities, as you move on to the next account Clinical solutions - EHRs, Care coordination, ACOs Homecare, Hospice, Patient portals, eRx Billing/Revenue cycle Management PMS, Claims management, EDI/X12, Clearinghouses, Denials Appeals etc. Payers/PBMs Adjudication, Underwriting, Contract management, Benefits management, Health Plan design, Regulations Meaningful Use 1/2/3, PQRS, MIPS, MACRA, AAPMs, HQRP, HEDIS, Star ratings Standards (Working knowledge of structure, context of usage, flavours and exceptional scenarios) HL7, EDI, NCPDP, FHIR, CCDA, QRDA, SNOMED, ICD9/10

Qualifications and Educations

BE – Computer science / MCA Any graduates with computer background will do if they possess experience in the mentioned skillset.