Hybrid Job for Business System Analyst in Newark, NJ

[Anurag Srivastava]

Greetings,
 
Please have a look at the job description below and share some qualified resources.

 

Position: Business System Analyst

Location: Newark, NJ (Hybrid 2 -3 days a week)

Duration : Long term Contract

 

Required Experience:

Must Have

• 8+ years as BSA/Product Owner/Product Manager
• Healthcare payer experience
• Prior Authorization experience
• Vendor management experience
• API integration experience
• Strong facilitation and stakeholder management skills

 

Highly Preferred

• FHIR
• CMS-0057-F
• CRD/DTR/PAS
• HL7
• Interoperability programs
• Utilization Management workflows
• Medical Policy systems

 

Requirements Leadership:

• Own end-to-end business and functional requirements for ePA, CRD, DTR, and PAS.
• Facilitate requirement sessions across business, operations, and technology teams.
• Translate regulatory requirements into business and technical requirements.
• Maintain requirements traceability from CMS regulations through implementation and testing.

 

Vendor Management

• Act as primary day-to-day requirements lead with Availity.
• Review vendor assumptions, solution designs, workflows, and implementation approaches.
• Track gaps, risks, dependencies, and open decisions.

 

FHIR & Interoperability Analysis

• Understand CRD, DTR, PAS, Patient Access, Provider Access, and Payer-to-Payer workflows.
• Analyze FHIR resource requirements and data mapping needs.
• Partner with API teams on business workflow impacts.

 

Cross-Team Coordination

• Coordinate between:
• UM
• Medical Policy
• Clinical Teams
• Horizon API Team
• Availity
• Cognizant
• Prime
• Enterprise Architecture
• Testing

 

Testing & Readiness

• Define business test scenarios.
• Coordinate end-to-end testing.
• Validate provider workflows.
• Support CMS and BCBSA compliance readiness.

 

Regards,
Anurag Srivastava

VBeyond Corporation

https://www.linkedin.com/in/anuragsrivastava90/

E: anur...@vbeyond.com | www.vbeyond.com

390 Amwell Road, Suite # 107, Hillsborough, NJ 08844

 

Note – VBeyond is fully committed to Diversity and Equal Employment Opportunity.

 

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