| Business Analyst with Healthcare Payer experience for Remote at Remote, Remote, USA |
| Email: [email protected] |
| Hi, Please share resume for below role:- Need a solid candidate Business Analyst with Healthcare Payer experience Qualifications: Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, or a related field. Minimum of [6] years of experience as a Business Systems Analyst, in the healthcare industry In-depth knowledge of Medicaid programs, fee schedules, reimbursement methodologies, and state-specific regulations. Proficiency in analyzing complex data sets and translating business requirements into technical specifications. Strong analytical, problem-solving, and decision-making skills. Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams. Experience with healthcare claims processing systems and software applications is preferred. Certification in Business Analysis (e.g., CBAP) or related field is a plus. Key Responsibilities: Analyze Medicaid fee schedule requirements for various healthcare services across different states. Design and develop fee schedule configurations in collaboration with stakeholders, including Medicaid program managers, actuaries, and IT professionals. Implement and maintain fee schedules within the organization's claims processing system. Conduct thorough testing and validation of fee schedule implementations to ensure accuracy and compliance. Monitor fee schedule changes and updates from regulatory agencies and proactively address any impacts on existing configurations. Provide subject matter expertise on fee schedule-related inquiries and issues, and collaborate with internal teams to resolve them in a timely manner. Document fee schedule specifications, processes, and workflows, and provide training and support to end-users as needed. Expertise in creating BRD, FRD and Data Mapping documents such that Development can continue based on these artifacts. Analyze the existing table inventory in Synapse / Azure cloud platform pertaining to the Fee schedule . Strong Data Analysis using SQL queries to analyze the issues, patterns etc Exposure is working with data /data analysis on the MS Azure cloud platforms Somnath Anand Sr. Technical Recruiter www.e-solutionsinc.com [email protected] Disclaimer: E-Solutions Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. We especially invite women, minorities, veterans, and individuals with disabilities to apply. EEO/AA/M/F/Vet/Disability. -- Keywords: information technology microsoft Business Analyst with Healthcare Payer experience for Remote [email protected] |
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| Wed Aug 07 03:00:00 UTC 2024 |