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Opening for Healthcare Business Analyst===USC only ===West Coast consultant only at Remote, Remote, USA
Email: [email protected]
From:

shreya singh,

RCI

[email protected]

Reply to:   [email protected]

Title  : Healthcare Business Analyst

Duration: 6 months to start

Location: Remote but needs to be on the WEST COAST

Must have experience with Healthcare/FACETS/STTM (source to target mappings) with CLAIMS EXPERIENCE.

West Coast Only

Responsibilities:

Collaborate with cross-functional teams to analyze business requirements related to health care claims processing.

Conduct detailed analysis of claims data, identifying trends, patterns, and opportunities for process improvement.

Develop and maintain documentation for claims processing workflows, business rules, and data mappings.

Participate in system testing, ensuring accurate implementation of business rules and data transformations.

Work closely with stakeholders to define source-to-target mappings for data integration projects.

Provide expertise in Facets (or other relevant claims management systems) to optimize claims processing efficiency.

Support end-users by troubleshooting issues related to claims data, system configurations, and data mappings.

Qualifications:

Bachelors degree in a related field (Healthcare Administration, Business, or Information Systems preferred).

Minimum of 5 years of experience as a Business Analyst in the healthcare industry.

Proficiency in Facets (or similar claims management software).

Strong understanding of claims processing workflows, including pre-authorization, adjudication, and payment.

Experience with source-to-target mapping and data integration projects.

Excellent analytical skills and attention to detail.

Effective communication and collaboration abilities.

Preferred Skills:

Familiarity with HIPAA regulations and compliance.

Experience working with health insurance payers or providers

Thanks and Regards

_______________________________

Shreya Singh

Resource Consultings Services Inc.

Parsippany, NJ 

Email:

[email protected]

www.rconsultinginc.com

Keywords: New Jersey
Opening for Healthcare Business Analyst===USC only ===West Coast consultant only
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Tue Jun 25 15:37:00 UTC 2024

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