Advisor Business Analyst – Fraud, Waste & Abuse

Remote role Full-time Open position

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:

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