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MD

Business Analyst - Commercial Claims Payment SME

Macpower Digital Assets Edge Private Limited
🇺🇸 United States
On-site
Mid level
5 days ago
$64 / hour
  • Agile
  • Change Management
  • SQL
5 days ago
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Job Summary:We are seeking an experienced Business Analyst – Claims Payment SME with a strong background in commercial claims, payment processes, and Agile methodologies. The ideal candidate will be responsible for requirements gathering, process mapping, and solution definition for a global claims payment environment. This role involves close collaboration with business stakeholders and IT teams to optimize payment workflows and enhance operational efficiency.
  • Experience: 10+ years
  • Certification: Agile Certified Product Owner, Pega CBA (preferred)
Key Responsibilities:
  • Lead Requirements Workshops – Independently facilitate sessions with business and IT stakeholders.
  • Process Mapping & Solution Definition – Analyze current state payment workflows and define optimized target state solutions.
  • Claims Payment System Enhancements – Work with Payment Hub (One Inc) and other platforms to enhance claims payment processes.
  • Documentation & Change Management – Develop business requirements, process documentation, and ensure alignment with change management procedures.
  • Stakeholder Collaboration – Work closely with business liaisons, treasury teams, and IT departments to determine payment process requirements.
  • Business/IT Workshops, Demos, and UAT – Drive engagement efforts for system improvements and operational efficiency.
  • Claims Payment Lifecycle Knowledge – Bring expertise in insurance claims payment processing, payment channels, disbursements, payee information platforms, and master data management.
  • Compliance & Standards – Ensure adherence to industry regulations and organizational policies while handling end-to-end requirements.
  • SQL & RDBMS Expertise – Utilize strong database knowledge to optimize claims payment workflows.
Required Qualifications:
  • 7+ years of experience in Agile Way of Working
  • 10+ years of experience in Commercial Claims & Claims Payment workflows
  • Payment SME with deep expertise in insurance claims payment processing
  • Pega CBA Certified or experience in Pega Payment workflows (preferred)
  • AGILE Certified Product Owner
  • Strong SQL and RDBMS knowledge
Preferred Skills:
  • Familiarity with One Inc Payment Hub
  • Experience with Treasury, Payment Channels, Disbursements, and Master Data Management in Insurance
  • Strong communication and interpersonal skills
  • Ability to multitask, prioritize deadlines, and work independently

Business Analyst - Commercial Claims Payment SME · Macpower Digital Assets Edge Private Limited

Auto apply with Likeremote