Edifecs Careers

Description

Sr. Product Analyst

 

Overview

Edifecs is hiring a Sr. Product Analyst to join our products team. As a Senior Product Analyst, you will help guide products from conception to launch and all stages of the product lifecycle. You’ll be responsible for managing the encounter submission product to state and center for Medicare and Medicaid services. This position will also help define the product strategy and vision, work with customers to prioritize unmet user needs, and collaborate with a cross-functional team to launch products to the market.
 

What you will do:
 

• Understanding and defining requirements for CMS encounter submissions
• Draft requirements by analyzing and understanding companion guides and map to Product Business Rules and guidelines.
• Elicit requirements using interviews, focus groups, document analysis, requirements workshops, workflow definitions, use cases, scenarios based on Edifecs Product Specifications
• Track state or CMS websites for data submissions enhancements, understand the requirements and develop product impact requirements document
• Communication with customers on Requirement Changes and Release notifications.
• Critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, and distinguish user requests from the underlying needs.
• Collaborate with external and internal customers to analyze information needs and functional requirements to deliver the following artifacts: BRD, Use cases, GUI, screens and interfaces.
• Collaborate with developers and subject matter experts to develop product specification documents, business architecture and state transition, solution design etc. Utilize your experience in using enterprise-wide requirement definition, management systems and methodologies required.
   

What you will bring:

• Bachelors or Master’s degree in Computer Sciences or MBA related fields; Certification in Business Analysis (CBAP) and/or Healthcare (AHM 250) is a plus.
• 4-5 years’ experience as a business analyst/ Systems Analyst
• Good understanding of Healthcare reforms and regulatory framework
• Strong knowledge on claim processing for Medicare line of business
• Experience working on Medicare Advantage Risk Adjustment methodology.
• Working knowledge of CMS HCC Model & Risk Scoring
• Strong Knowledge on HIPAA X12 837 transactions
• Experience in Medicare Encounter data submissions including understanding the acknowledgement processing like 999, 277, MAO etc.
• Ability to document product features and functionalities by analyzing various state or CMS requirements for encounter submissions.
• Experience in interpreting requirements and developing functional specifications

Note: The expected base pay range for this position is $112,096 - $164,407 per year. Base pay offered may vary depending on location, job-related knowledge, education, and experience. We are pleased to offer our associates a comprehensive well-being plan.  Our offerings include medical, dental, vision, life, and disability insurance, a 401(k)-retirement savings plan including an Edifecs matching contribution, and up to 25 days of PTO and 10 holidays per year.  More information on these and additional well-being offerings can be found here.
 

About Edifecs

Edifecs is a premier technology company in the U.S. Healthcare market with solutions focused on interoperability, workflows, risk adjustment, value-based care payments, and analytics. Edifecs solutions are used by leading healthcare entities including, payers, providers, employers, third-party administrators, and government agencies. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of complying with regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in providing solutions for B2B data exchange, streamlining key workflows in areas such as enrollment, risk adjustment, and alternative payment models. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. Edifecs solutions are offered in both On-Premise and SaaS models. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia, and Mohali, India, an engineering center in Moldova, and has more than 700 employees.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or another legally protected status.

Edifecs will provide reasonable accommodation to individuals with disabilities who need assistance applying for a job.  Please contact [email protected] for more information.

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