Business Analyst - Commercial Claims Payment SME

Macpower Digital Assets Edge LLC

Waltham, MA

Apply

JOB DETAILS

JOB TYPE

Full-time

SKILLS

Acceptance Testing, Agile Programming Methodologies, Analysis Skills, Business Analysis, Business Development, Business Processes, Change Management, Claims Processing, Communication Skills, Database Optimization, Disbursements, Document Change Management, Documentation, Establish Priorities, Insurance, Insurance Claims, Interpersonal Skills, Maintain Compliance, Master Data Management (MDM), Multitasking, Operational Improvement, Operational Strategy, Payment Processing, Product Demonstration, Regulatory Compliance, Relational Databases (RDBMS), Requirements Management, SQL (Structured Query Language), Scrum Product Owner, System Operations, Time Management, Treasury

LOCATION

Waltham, MA

POSTED

30+ days ago

Job Summary: We are seeking an experienced Business Analyst Claims Payment SME with a strong background in commercial claims, payment processes, and Agile methodologies. The ideal candidate will be responsible for requirements gathering, process mapping, and solution definition for a global claims payment environment. This role involves close collaboration with business stakeholders and IT teams to optimize payment workflows and enhance operational efficiency. Experience: 10+ years Certification: Agile Certified Product Owner, Pega CBA (preferred) Key Responsibilities: Lead Requirements Workshops Independently facilitate sessions with business and IT stakeholders. Process Mapping & Solution Definition Analyze current state payment workflows and define optimized target state solutions. Claims Payment System Enhancements Work with Payment Hub (One Inc) and other platforms to enhance claims payment processes. Documentation & Change Management Develop business requirements, process documentation, and ensure alignment with change management procedures. Stakeholder Collaboration Work closely with business liaisons, treasury teams, and IT departments to determine payment process requirements. Business/IT Workshops, Demos, and UAT Drive engagement efforts for system improvements and operational efficiency. Claims Payment Lifecycle Knowledge Bring expertise in insurance claims payment processing, payment channels, disbursements, payee information platforms, and master data management. Compliance & Standards Ensure adherence to industry regulations and organizational policies while handling end-to-end requirements. SQL & RDBMS Expertise Utilize strong database knowledge to optimize claims payment workflows. Required Qualifications: 7+ years of experience in Agile Way of Working 10+ years of experience in Commercial Claims & Claims Payment workflows Payment SME with deep expertise in insurance claims payment processing Pega CBA Certified or experience in Pega Payment workflows (preferred) AGILE Certified Product Owner Strong SQL and RDBMS knowledge Preferred Skills: Familiarity with One Inc Payment Hub Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance Strong communication and interpersonal skills Ability to multitask, prioritize deadlines, and work independently

Business Analyst - Commercial Claims Payment SME

Macpower Digital Assets Edge LLC

Waltham, MA

About the Company

Macpower Digital Assets Edge LLC

Similar Job Searches