Business Analysis With Healthcare Certification Training

Start Date Duration Time (CST) Type Mode of Training Enroll
17-Mar-2019 55 Hrs 09:00 PM Online INSTRUCTOR LED TRAINING Enquiry Now


Business Analysis with Healthcare domain knowledge combines with Business Analyst skills to give a customized skillset for an individual looking to make a career as a Business Analyst in the Healthcare domain. This explores many business processes, use cases at every point of contact where the patients interfaces with the healthcare professionals. A Business Analyst should equipped with clinical trial knowledge and with various tools usage like SAS, HPQC- ALM, MS Visio, etc.

Did you know?

1. As hospitals are getting digitized, Business Analysts acts as interface between patients and doctors and helps in maintaining patient data records, demonstrates the use of technology and electronic health records 2. As per PWC’s annual report, technology is playing a vital role where millennials are embraced and preferring virtual communication with doctors for health interactions using wearable devices and health applications. 61 percent are willing to have a video visit with the physicians and 21 percent are using mobile devices to fill prescriptions 3. Mede/Analytics®, recently unveiled Enterprise Performance Management developed by OnFocus Healthcare to add planning, execution and progress tracking functions into company’s software. Clinical-Financial Performance Framework is a crosswalk analysis of all the hospital requirements and information on potential financial and non-financial risk assessment program

Why learn and get Certified in Business Analysis with Healthcare?

  1.  MNCs are looking to employ qualified professionals as Business Systems Analyst, Healthcare Business Analyst, Business Analyst and so on and this certification will increase your visibility to such employers
  2.  According to one of the renowned recruitment portal, the average salary of the Business Analyst in the Healthcare is more than the average salary of a software engineer. Thus the specialization of Business Analyst in Healthcare ensures higher pay due to the scarce availability of qualified professionals
  3.  It allows for utilization of skills across the domains of IT, Business Management and Healthcare which increases employability of the individual post certification
  4. As per the US Bureau of Labor Statistics (BLS), it is expected that there will be 19% increase in the job over the 2012 – 2022 decade
After the completion of this course, Trainee will:
  1.  Determine the primary role of a Business Analyst in a business
  2.  Understand project scope and project plan in a real business scenario
  3.  Learn Insurance Life Cycle and Healthcare Insurance products
  4.  Master in determining and analyzing business requirements document and business requirement Tools
  5. Create a test plan as per the requirements using various testing methodologies
  6.  Learn different software development methodologies (waterfall, Agile, Spiral, RAD, Scrum)
  7.  Gain Knowledge on Prototyping and JAD [Joint Application Development], types of requirements (Business, Functional, Non-Functional, Transition, UI etc)


  1. Candidates should have education or background in some aspect of the life sciences, healthcare, IT, pharmaceutical, medical devices, or related areas
  2.  Basic knowledge on Healthcare processes and concepts

Who should attend this Training?

This certification is highly suitable for a wide range of professionals either aspiring to, or already in the IT domain, and/or have experience in healthcare domain such as:
  1.  Business Analysts
  2.  Project Managers
  3.  IT Business Analyst
  4.  Healthcare Professionals seeking to break into IT domain
  5.  Engineers seeking to diversify skillsets as an addition to their existing profile

Prepare for Certification

Our training and certification program gives you a solid understanding of the key topics covered on the National Society of Certified Healthcare Consultants (CHBC™ Certification). In addition to boosting your income potential, getting certified in Business Analysis in Healthcare Domain, demonstrates your knowledge of the skills necessary to be an effective Consultant. The certification validates your ability to produce reliable, high-quality results with increased efficiency and consistency

Unit 1: BA Basics

  1. Introduction to Business Analysis
  2. Importance of Effective Business Analysis
  3. Business Composition and Architecture
  4. Roles and Responsibilities of a Business Analyst
  5. Need for a Business Analyst
  6. Standardization and Adaptability
  7. Importance of Communication/Collaboration
  8. Corporate Structure and Business Analyst Positioning
  9. Importance of Business Analyst in the Project Team
  10. Business Analyst Career Path

Unit 2: Business Analysis Deliverables Part 1: BRD & Process flows

  1. SDLC - Paradigms and development models.
  2. Requirements Elicitation – Techniques and preferred approaches.
  3. Business Analyst Deliverables
    • Problem Statement
    • Business Goals
    • Stakeholder Analysis
    • Scope Document
    • Business Requirement Document (BRS)
    • As-is and To-Be Process flow
    • Lessons Learnt

Unit 3: Business Analysis Deliverables Part 2: Agile Development Model

  1. Scrum theory and definition of Scrum
  2. Scrum Events
  3. Artifacts and Modeling
  4. BA Deliverables
    • Use Cases and User Stories
    • Product ownership

Unit 4: BA Tools & Healthcare Tools

  1. HPQC - ALM
  2. Visual Studio Team Server(VSTS)

Unit 5: Business Process Modelling Notation(BPMN

  1. Introduction
  2. Categories
    • Flow Objects
    • Connectors
    • Swim Lanes
    • Artifacts
  3. Human and System Driven flows
  4. Practice and Examples

Unit 6: Health Insurance Overview - Basics and Acronyms

  1. What is Health Insurance
  2. Components of Health Insurance
  3. Types of Health Insurance
    • Government
    • Private Plans and Managed Care
  4. What is healthcare reform – ACA and Obama care
  5. Basic Concepts and Terminology
  6. Prior Authorization

Unit 7: Claims Process Flow

  1. Claims Process Flow
  2. Claims Submission
  3. Claims Adjudication Processing
  4. Encounters Submission
  5. Compliance Check

Unit 8: Electronic Data Interchange (EDI)

  1. Introduction to EDI
  2. Understanding the structure of an EDI document(Loops, Segments, Elements etc.)
  3. Companion and Implementation Guides(TR3 Document)
  4. EDI HIPAA 5010 transactions: Claims-837, Enrollment - 834 and Remittance - 835
  5. Edits and Validations

Unit 9: Healthcare Coding

  1. Healthcare Coding
  2. Different types of codes in Healthcare
  3. ICD
  4. ICD9 VS 10
  5. DRG, CPT and HCPCS

Unit 10: Unit 10: Facets

  1. Overview
  2. Facets Processing Steps
  3. System Architecture
  4. Important Modules
    • Pricing
    • Agreement
    • Service Definition
    • Exclusions
    • Network Management

Unit 11: Healthcare – Miscellaneous Topics

  1. Pharmacy benefits management(PBM)
  2. eHealth
  3. HR & EMR
  4. Meaningful Use
  5. HIX
  6. HL7
  7. HIE

Unit 12: JAD Sessions

  1. JAD Definition and Overview
  2. Purpose
  3. Tasks
  4. Pros & Cons

Unit 13: Resume Preparation and Interview Guidance

About Business Analysis with Healthcare Certification

Healthcare Business Analyst seek to support the efficiency and profit of medical facilities by evaluating their financial activity, data management and services. For these aspiring Business Analysts, an esteemed society named National Society of Certified Healthcare Business Consultants delivers few certification programs for business healthcare consultants.

Certified Healthcare Business Consultant (CHBC) Certification

The CHBC Certification exam is intended for skilled business healthcare consultants who have demonstrated an understanding of the total healthcare business environment, both practice and financial management. All areas of the healthcare business environment is incorporated in CHBC Certification exam. NSCHBC strongly recommends attaining its membership and few years of experience in healthcare domain before taking the CHBC Certification exam.


  1.  Should be a member of NSCHBC
  2. Understanding the total healthcare business environment, including practice and financial management

Exam Details

  1.  Mode of exam is online
  2.  Duration of the exam is 4 hours
  3. Passing score is 70%
  4.  Cost of the exam is $600.00

Certified Health Data Analyst (CHDA®) Certification

CHDA® certification will validate that the certified professionals are expertise in health data analysis and validation of their mastery of healthcare domain. It benefits professionals with the knowledge to gain, analyze, manage, interpret, and modify data into accurate, consistent, and timely information, while counterpoising the "big picture" planned vision with daily basis details.


  1.  Healthcare information management credential (RHIT®) and minimum of three years of healthcare data experience
  2.  Baccalaureate degree and a minimum of three years of healthcare data experience Healthcare information management credential (RHIA®)
  3. Master’s in Health Information Management (HIM) or Health Informatics from an accredited school
  4. Master's or higher degree and one year of healthcare data experience

Exam Details

  1.  Mode of exam is online
  2.  Duration of the exam is 3 hours and 30 minutes
  3.  Number of questions are 150
  4.  Exam format is multiple choice questions
+What is the most important factor in the Healthcare process?
Business Analysis With Healthcare Training FAQs The most important factor in the Healthcare process is the claims part, and it’s explained as follows: The insured can approach the insurance company directly himself or in cases of no money return reimbursements, the hospital will approach the insurance company on his behalf. The claims executive will then check the bills and claims from the insured/hospital to see if the benefits are covered for or there are areas of which he is not covered for. If the claim is eligible, then the payout amount is calculated based on what he is eligible for and what he has filed in. This payout amount will be forwarded to the finance department for a final payout via any chosen method.
+What are the methods by which detection of fraud can be done in Healthcare claims from the system's perspective?
With the uniqueness of each Healthcare claim being maintained intra insurer, as well as inter-insurance companies can go a long way in identifying claim frauds. If the systems can detect the same parameters for the claim as has been done previously, then the fraud can be stopped. The parameters can be hospital bill number, the date of hospitalization or the amount being claimed, etc.
+What happens if Healthcare products are not tested?
Testers should be aware of the various standards in the Healthcare domain like DICOM, HIPAA and others while testing the products for various aspects. Testing a Healthcare product without having a knowledge of the various standards will result in the inadequacy of testing.
+What kind of experience does the staff of I.H.S. have?
I.H.S will assign highly experienced Managers to customer’s accounts. All key Managers have over ten years of experience in the Medical Billing Industry. Also, they deliver an in-house training where we train graduates with a three-week structured training program followed by two weeks on the job training