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Advisor Business Analyst – Fraud, Waste & Abuse

Remote · Portugal Full-time

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:

  • generous, flexible vacation policy
  • educational assistance
  • comprehensive health benefits
  • 401(k) employer match

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