Technical Requirements AnalystResponsibilities:Reading and creating Use Cases, functional specifications and requirements documentsRequirements tool experience requiredExcellent communication skills requiredSharePoint experience requiredQuality Center and/or Axure experience helpfulRequirements:Bachelor's degree in computer science, mathematics or related field preferred (or equivalent experience)At least three years of experience in programming or testingAt-least 3 years of experience working with 837I/P/D, 835.At-least 3-4 years of experience working with relational databases to facilitate programming software. Ability to write and interpret complex SQL QueriesKnowledge of medical terminology including CPT, ICD, HCPCS Codes and standard of claims processing guidelines.Strong requirements elicitation, specification, and validation knowledge and experience and strong requirements traceability experienceAdditional Skills:The Technical Requirements Analysts job responsibilities will include, but are not limited to, the following: Analyze complex business problems and assess feasibility of the proposed enhancements and system automations. Collect and synthesize data, review current business processes, understand end-user needs in consultation with stakeholders and explain implications of choices to all involved.
Act as liaison between business users and IT development team and consult with Subject Matter Experts (SMEs) to create Requirement Documents, Functional Specification Document (FSD) and use cases. Facilitate meetings and focused groups to identify optimal solutions that create and enhance business value. Independently lead various phases of the software development life cycle, with focus on validating conceptual solutions and creating quality requirements artifacts.General Responsibilities:Provide leadership and direction to lesser experienced Business Analysts.Develop and analyze business and user requirements for clarity, completeness, scope, and technical feasibility.Decompose business and user requirements into system and software functional requirements.Define system quality and operational attributes, external interfaces, constraints, rules, and other non-functional requirements.Develop system use cases that describe the system's intended functional behavior and serve as SME/Product Analyst.Develop supplementary specifications that capture system requirements that are not readily captured in use cases.Perform requirements modeling and diagram flows which depict various perspectives of the system's functional behavior.Develop software requirements specifications that capture the software requirements for the complete system and serve as the "build-to" specification for development.Provide authoritative understanding of the systems implementation independent behavior to support: 1) test designers in the development of software test plans and test cases.
2) Solution architects in the development of architecture and design models; 3) data designers in the development of logical and physical data models.Serve as the development team representative during UAT for the purpose of clarifying the intended functional behavior of the software.Manage requirements using the Jira/Confluence/Zephyr requirements management package.Manage requirements traceability to include development of requirements traceability matrices.Support requirements triage to select the right requirements to include in a specific software release. Activities would include identification of relationships and dependencies between requirements, and estimation of technical effort.At the end of each iteration or release, produce a lessons learned report which summarizes the effectiveness and efficiency of the requirements practices and resources employed on the project.Serve as primary liaison between the technical team and the product team and end-users for the purpose of establishing a common understanding of requirements and the as-built product.Interview users, analyzing their IT needs in order to develop descriptions of moderately complex systems proposals.Required Education and Experience:Bachelor's degree in computer science, mathematics or related field preferred (or equivalent experience)At least three years of experience in programming or testingAt-least 3-4 years of experience working with relational databases to facilitate programming software. Ability to write and interpret complex SQL Queries3+ years experience with Jira/Confluence/Zephyr3+ years of experience with Technology Architecture (Mainframe, Client Server and Web), Project Planning and Estimating, Systems Analysis and Assessment; Project Management3+ years of in-depth experience with Post Adjudication of health insurance claims and voucher systems that produce payment/output to members and providers.Voucher/holiday cyclesFormatting and generating HIPPA 835 transactions; associated TR3 guidelinesBuilding and generating Paper remittance; formats and contentsMember Refund and Provider Retention recovery processesPeripheral financial processesGeneral Ledger entries; accounts, debits and creditsBanking application integrationCash management reconciliation1099Reporting, full spectrum financial reconciliation and balancingPreferred Skills:Basic programming skillsKnowledge of BPM and Workflow systems is an assetGood personal computer and business solutions software skillsAnalytical and problem-solving skills for design, creation and testing of programsInterpersonal skills to interact with team members