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Lead Technical Business Analyst

COTIVITI, INC.

SOUTH JORDAN, UT

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JOB DETAILS
SKILLS
Acceptance Testing, Agile Programming Methodologies, Analysis Skills, Bug Tracking/Defect Management, Business Analysis, Business Case, Business Processes, Business Solutions, Computer Engineering, Computer Science, Consulting, Content Management Systems (CMS), Customer Support/Service, Customer Training, Customer/Client Research, Data Analysis, Data Mapping, Data Processing, Data Quality, Electronic Data Interchange (EDI), HIPAA (Health Insurance Portability and Accountability Act), HL7 (Health Level 7), Health Information Technology, Industry/Trade Analysis, Information Technology & Information Systems, Knowledge Base, Leadership, Operations Management, Problem Solving Skills, Procedure Implementation, Process Improvement, Product Planning, Product Support, Quality Assurance, Requirements Management, Sales Training, Software Development Lifecycle (SDLC), Software Engineering, Software Installation, Systems Administration/Management, Systems Analysis, Technical Leadership, Technical Support, Technical/Engineering Design, Test Case, Test Plan/Schedule, Testing, Use Cases, User Documentation, Work From Home
LOCATION
SOUTH JORDAN, UT
POSTED
2 days ago
Conduct technical and business system evaluations and design and implement systems and procedures to assist clients with technical solutions to business issues. Responsible for capturing customer requirements, translating them into functional specifications and configuration guides, and verifying deployment of Edifecs' products. Define business rules, translation rules and other configuration items for installation of Edifecs software to meet business needs. Guide client business and technical teams in defining requirements, translating requirements into functional specifications, and assisting during implementation. Develop test plans and test cases for transactions and execute test cases when required. Manage operations for multiple customers; including timeliness of data processing, quality of data submission and assist customers to comply with State and CMS requirements. Deliver product training to new clients. Conduct reviews of functional implementation and guide others. Create reusable templates and materials over the course of various implementations and contribute to knowledge base. Work with Product Technical Support, Engineering, and Product teams when resolving customer or internal product issues. Serve as domain and functional expert for customer and internal teams. Drive product roadmap based on customer feedback. Understand industry trends and provide suggestions or recommendations to implement them as applicable. Provide consulting to customer on Edifecs products and help in solution designing. Monitor and track various service level commitments to customers and take necessary steps to adhere to the commitments. Recommend customer process changes for best usage of product and achieve results. Requires a Bachelor's degree, or foreign equivalent degree, in Computer Science, Computer Engineering, Computer Information Systems, or related field, plus 7 years of experience in the healthcare IT industry. Also requires: 7 years of experience gathering requirements from business users and translating into detailed system specifications, identifying system configurations, rules, and constraints for design and development; 7 years of experience creating epics, features, user stories, use cases, business, functional and system requirements using software engineering tools; 7 years of experience handling production defects, including analyzing code and data fixes, triaging issues to development and QA teams, and monitoring defects until resolution; 7 years of experience reviewing designs and technical solutions for Electronic Data Interchange (EDI) mapping, and EDI analysis; 7 years of experience in leading business analysis and process improvement projects; 5 years of experience providing design support, development QA and UAT support to the team for all the SDLC phases until deployment; 5 years of experience preparing and coordinating the data mapping documents for various HIPAA EDI standard formats 278 for Prior Authorizations, 837 for Claims and Encounters, Provider files, Vendor proprietary files, and HL7 transactions; and 5 years of experience in standardization of business processes and implementing standard processes across the organization. Telecommuting available anywhere in the U.S. Company headquarters located at 10701 South River Front Pkwy, Suite 200, South Jordan, UT 84095. Requisition 2026-19455

About the Company

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COTIVITI, INC.