Advisor Business Analyst – Fraud, Waste & Abuse
Job Description:
- Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts
- Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency
- Define acceptance criteria and expected system behavior
- Apply the test scenarios to execute User Acceptance Testing
- Participate in post-deployment testing sessions that occur after normal business hours
- Communicate effectively with both technical and non-technical audiences
- Create and maintain organized product project plans to support product development
- Lead requirement elicitation meetings with clients and stakeholders
- Configure and tailor client system environments
- Deliver product demos, walkthroughs, and training as needed
Requirements:
- 5+ years of SME experience leading healthcare fraud and abuse detection and investigations
- 2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams
- Certification: Professional certification as a Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) is desirable
- Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
- Ability to clearly and concisely translate technical requirements to a non-technical audience
Benefits:
- generous, flexible vacation policy
- educational assistance
- comprehensive health benefits
- 401(k) employer match