Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy, and consent to receive emails from Rise
Jobs / Job page
Healthcare Business Analyst image - Rise Careers
Job details

Healthcare Business Analyst

Company Description

Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.

With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.

Job Description

Position: Healthcare Business Analyst (Claims and Pre-Authorization)

Location: Parsippany-Troy Hills, NJ, USA(On-Site)

Visa: ONLY USC and GC

Job Description

 

Overview:

As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management, accurate pre-authorization decisions, and streamlined processes.

 

Responsibilities:

  • Analyze end-to-end claims workflows, from submission to payment.
  • Collaborate with stakeholders (insurers, providers, patients) to identify process improvements.
  • Understand how to Ensure compliance with industry standards (e.g., HIPAA)
  • Evaluate pre-authorization requests for medical services or procedures.
  • Verify medical necessity and adherence to guidelines.
  • Facilitate timely approvals by working closely with providers and payers.
  • Utilize tools like Excel, SQL, and data visualization platforms.
  • Create reports, dashboards, and presentations to communicate insights.
  • Monitor performance metrics related to claims and pre-authorization.
  • Collaborate with IT teams to enhance products and development of claims processing systems.
  • Gather requirements for system upgrades and new features.
  • Maintain strong communication with cross-functional business units.

 

 

 

Regards,

 

Manoj

Derex Technologies INC

Contact : 973-834-5005 Ext 206

Additional Information

All your information will be kept confidential according to EEO guidelines.

Average salary estimate

$75000 / YEARLY (est.)
min
max
$65000K
$85000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Healthcare Business Analyst, Derex Technologies Inc

Join the dynamic team at Derex Technologies Inc as a Healthcare Business Analyst specializing in Claims and Pre-Authorization in Parsippany-Troy Hills, NJ! In this role, you'll be at the forefront of optimizing our healthcare technology solutions. Your focus will be on improving claims management and ensuring that pre-authorization processes run smoothly and efficiently. You'll analyze the entire claims workflow and collaborate with various stakeholders, including insurers, healthcare providers, and patients, to identify opportunities for process enhancements. Moreover, you will verify medical necessity according to guidelines and facilitate timely approvals, making a real difference in patient care. Your toolkit will include Excel, SQL, and data visualization platforms to create insightful reports and dashboards that communicate important metrics and findings. Collaboration is key here, as you'll work closely with our IT teams to enhance claims processing systems and gather requirements for upgrades and new features. If you're passionate about healthcare and technology and want to contribute to projects that drive results, Derex Technologies is the perfect place for you to grow your career!

Frequently Asked Questions (FAQs) for Healthcare Business Analyst Role at Derex Technologies Inc
What are the main responsibilities of a Healthcare Business Analyst at Derex Technologies?

As a Healthcare Business Analyst at Derex Technologies, your primary responsibilities will include analyzing end-to-end claims workflows, ensuring compliance with industry standards like HIPAA, verifying medical necessity for services, and collaborating with various stakeholders to identify process improvements. You'll also create reports and dashboards using tools like Excel and SQL to monitor performance metrics related to claims and pre-authorization, and work with IT teams on system enhancements.

Join Rise to see the full answer
What qualifications are needed for the Healthcare Business Analyst position at Derex Technologies?

To be considered for the Healthcare Business Analyst role at Derex Technologies, candidates typically need a bachelor’s degree in healthcare administration, business management, or a related field. Experience in claims processing, pre-authorization, or healthcare IT systems is highly preferred, along with skills in data analysis tools such as Excel and SQL. Additionally, a solid understanding of healthcare industry regulations, such as HIPAA compliance, is crucial for success in this role.

Join Rise to see the full answer
How does the Healthcare Business Analyst role at Derex Technologies contribute to patient care?

The Healthcare Business Analyst at Derex Technologies plays a vital role in enhancing patient care by optimizing claims management and pre-authorization processes. By ensuring that claims are processed efficiently and accurately, along with facilitating timely approvals for medical services, the analyst helps reduce delays for patients seeking care. This ultimately leads to better healthcare outcomes and improves the overall patient experience.

Join Rise to see the full answer
What tools do Healthcare Business Analysts at Derex Technologies use?

Healthcare Business Analysts at Derex Technologies utilize various tools to effectively perform their job functions. Commonly used tools include Microsoft Excel for data analysis, SQL for database management, and data visualization platforms to create dashboards. These tools help analysts to monitor claims performance, communicate insights effectively, and contribute to system upgrades.

Join Rise to see the full answer
Is the Healthcare Business Analyst position at Derex Technologies remote or on-site?

The Healthcare Business Analyst position at Derex Technologies is an on-site role based in Parsippany-Troy Hills, NJ. This allows for collaboration with cross-functional teams and stakeholders, ensuring that claims processing systems are optimized in a collaborative environment.

Join Rise to see the full answer
Common Interview Questions for Healthcare Business Analyst
Can you describe your experience with analyzing claims workflows?

When answering this question, emphasize your analytical skills and detail any specific projects where you successfully identified inefficiencies in claims workflows. It's beneficial to highlight the tools you used in your analysis and the positive outcomes from your recommendations.

Join Rise to see the full answer
How do you ensure compliance with HIPAA regulations in your role?

Address this question by explaining your understanding of HIPAA regulations and any specific processes or tools you employ to maintain compliance. Illustrate real-life scenarios where you've ensured privacy and security in handling healthcare data.

Join Rise to see the full answer
What methods do you use to verify medical necessity?

Share your approach to verifying medical necessity and your familiarity with guidelines and protocols. Mention any frameworks or systems you’ve previously used for this process, and consider including examples of situations where you successfully navigated requests.

Join Rise to see the full answer
How do you prioritize competing tasks as a Healthcare Business Analyst?

When discussing prioritization, provide a structure or methodology you use, such as assessing urgency and importance. You might include examples from past experiences where you effectively managed multiple projects or deadlines successfully.

Join Rise to see the full answer
Can you discuss a time when you identified a process improvement?

Use the STAR method (Situation, Task, Action, Result) to answer this question. Detail a particular instance when you spotted a process flaw, what initiatives you took to address it, and the impact it had on operational efficiency.

Join Rise to see the full answer
What experience do you have with SQL and data visualization tools?

Be specific about your experience with SQL, including types of queries you have written. Mention any data visualization software you are skilled in, giving examples of how these skills have enhanced your reporting and decision-making capabilities.

Join Rise to see the full answer
How do you handle conflicts between stakeholders during project execution?

Talk about your communication skills and strategies for conflict resolution. Discuss how you stay neutral and work to understand all viewpoints in order to facilitate a solution that meets the needs of all parties.

Join Rise to see the full answer
What key performance indicators do you track for claims and pre-authorization processes?

Identify specific KPIs that are relevant to the role, such as approval timelines, accuracy rates, or claims denial rates. Explain how tracking these metrics helps improve overall processes within the healthcare system.

Join Rise to see the full answer
How do you stay informed about changes in healthcare regulations?

Describe your routine for keeping up to date with regulatory changes, such as subscribing to industry newsletters, attending webinars, or participating in professional networks. Highlight how this proactive approach informs your work as a Healthcare Business Analyst.

Join Rise to see the full answer
Why do you want to work at Derex Technologies as a Healthcare Business Analyst?

When answering this question, reflect on what excites you about the company’s mission, culture, and areas of focus. Discuss how your skills and values align with Derex Technologies and how you can contribute to the company’s goals.

Join Rise to see the full answer
Similar Jobs
Posted 9 days ago

Join Derex Technologies as an Applications Developer, where you'll craft innovative web solutions in a collaborative hybrid environment.

Derex Technologies Inc Hybrid Princeton, New Jersey, United States
Posted 5 days ago

Join Derex Technologies Inc as an Azure Data Engineer to leverage your expertise in Azure Cloud for impactful data solutions.

Posted 4 days ago

Join LG Electronics as a Project & Data Enablement Intern and explore the intersection of technology and data management while gaining hands-on experience.

Photo of the Rise User

Join The Toro Company as a Demand Planning Analyst and drive international demand processes while collaborating across multiple departments.

Photo of the Rise User
Posted 3 days ago

Seeking a detail-oriented Business Analyst to enhance Volkswagen's customer communication strategies through data-driven insights.

Photo of the Rise User

Join AbbVie as an Associate Director, leading omnichannel analytics to enhance customer engagement in Oncology.

Photo of the Rise User
Posted 10 days ago

Join Hagerty as a Business Analyst and drive growth through data-driven strategies in a fully remote position.

Photo of the Rise User
Posted 6 days ago

As a Business Insights Analyst at Raymond James, you will leverage your expertise in data analytics to drive strategic decision-making within the Insurance Solutions team.

Photo of the Rise User
Experian Remote Geo MilevMladost, Boulevard "Tsarigradsko shose" 86, 1113 Sofia, Bulgaria
Posted 12 days ago

Become a vital part of Experian's Risk Reporting & Analytics team as a Junior Risk Analyst, where your analytical skills will support data-driven decisions.

Photo of the Rise User
Posted 4 days ago
Inclusive & Diverse
Empathetic
Collaboration over Competition
Growth & Learning
Transparent & Candid
Medical Insurance
Dental Insurance
Mental Health Resources
Life insurance
Disability Insurance
Child Care stipend
Employee Resource Groups
Learning & Development

Drive data analytics strategies as a Senior Manager at American Express, shaping the future of cobrand card products.

Photo of the Rise User
Posted 10 months ago
Photo of the Rise User
Posted 10 months ago
Photo of the Rise User
Inclusive & Diverse
Diversity of Opinions
Work/Life Harmony
Dare to be Different
Reward & Recognition
Empathetic
Take Risks
Growth & Learning
Transparent & Candid
Mission Driven
Passion for Exploration
Feedback Forward
Medical Insurance
Dental Insurance
Vision Insurance
Mental Health Resources
Life insurance
Disability Insurance
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Learning & Development
Paid Time-Off
Maternity Leave
Social Gatherings
Photo of the Rise User
Inclusive & Diverse
Rise from Within
Mission Driven
Diversity of Opinions
Work/Life Harmony
Transparent & Candid
Growth & Learning
Fast-Paced
Collaboration over Competition
Take Risks
Friends Outside of Work
Passion for Exploration
Customer-Centric
Reward & Recognition
Feedback Forward
Rapid Growth
Medical Insurance
Paid Time-Off
Maternity Leave
Mental Health Resources
Equity
Paternity Leave
Fully Distributed
Flex-Friendly
Some Meals Provided
Snacks
Social Gatherings
Pet Friendly
Company Retreats
Dental Insurance
Life insurance
Health Savings Account (HSA)
MATCH
VIEW MATCH
FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
HQ LOCATION
No info
EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
April 12, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
U
Someone from OH, Columbus just viewed Client Registration Coordinator at UNAVAILABLE