Senior Business Analyst Healthcare

Position: Senior Business Analyst Healthcare

Location: Parsippany, NJ (Hybrid – need to travel to client place once/twice in a week)

Only W2 role

Note: Please apply if you are having 8+ years exp.

Job Description:

Overview: As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management, accurate pre-authorization decisions, and streamlined processes.

Responsibilities:

• Analyze end-to-end claims workflows, from submission to payment.
• Collaborate with stakeholders (insurers, providers, patients) to identify process improvements.
• Understand how to Ensure compliance with industry standards (e.g., HIPAA)
• Evaluate pre-authorization requests for medical services or procedures.
• Verify medical necessity and adherence to guidelines.
• Facilitate timely approvals by working closely with providers and payers.
• Utilize tools like Excel, SQL, and data visualization platforms.
• Create reports, dashboards, and presentations to communicate insights.
• Monitor performance metrics...