[Remote] Business Analyst (Claims), Senior

Note: The job is a remote job and is open to candidates in USA. Acentra Health is dedicated to empowering better health outcomes through technology and clinical expertise. They are seeking a Senior Business Analyst (Claims) to lead the design and functionality of solutions involving complex information systems, ensuring alignment with business requirements and strategic vision.ResponsibilitiesElicit requirements working with customer and stakeholdersDemonstrates in-depth knowledge of business and technical solutioning relates to Core Claims to ensure high qualityWorks with customers on presenting technical solutions for complex business functionalitiesPossesses unwavering commitment to customer service and operational excellenceProvides customer support through leading client demos and presentationsPrioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phasesCreates and modifies Business Process ModelsUnderstands the overall system architecture and cross-functional integrationDemonstrates in-depth knowledge of business analysis relates to Provider Enrollment, Maintenance and Screening to ensure high qualityPossesses in-depth knowledge and is well-versed in multiple functions or capabilitiesUses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specificationsAnalyzes user requirements and client business needs, leveraging expert opinion and expertiseActs as the requirements subject matter expert and supports requirements change managementRead, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security RulesSkillsBachelor's degree or equivalent experience in lieu of a degreeMinimum 5+ years of business analysis experience in Healthcare Domain knowledge with strong knowledge on Medicare / Medicaid Management Information System around Core Claims and/or Provider Management and Enrollment System experienceThe Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree is typically required, the company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidates has an Associate's degree, the company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degreeMinimum 5 years of experience on large complex project and domain knowledge of Medicare healthcare verticalStrong knowledge in Medicare policies and guidelinesStrong knowledge in claims adjudication and validationsStrong knowledge in Medicare Reimbursement methodologiesExcellent Business Analysis Process (SDLC, documentation procedures) experienceExcellent customer relation skills including presentation and meeting facilitationExperience facilitating and running customer facing requirements and design sessionsExcellent requirements elicitation and validation skillStrong knowledge and proficiency in SQL, plus high-level of technical and database knowledgeBenefitsComprehensive health plansPaid time offRetirement savingsCorporate wellnessEducational assistanceCorporate discountsCompany OverviewAcentra Health is a provider of clinical services and technological solutions to government healthcare organizations. It was founded in 1994, and is headquartered in Mclean, Virginia, USA, with a workforce of 1001-5000 employees. Its website is https://acentra.com/.Company H1B SponsorshipAcentra Health has a track record of offering H1B sponsorships, with 7 in 2026, 49 in 2025, 49 in 2024, 16 in 2023. Please note that this does not guarantee sponsorship for this specific role.