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

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