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100% Remote: Facets Healthcare Payer domain Business Analyst at Cerritos, California, USA
Email: [email protected]
From:

Prashant Yadav,

Itecs

[email protected]

Reply to:   [email protected]

Position: Facets Healthcare Payer domain Business Analyst

Location: Cerritos, CA.  100% Remote

Job Description:

Must Needed: Facets, SQL, FARM, Healthcare, Payer domain, Claim processing

Mandatory Skills:

Business System Analysis at least 5 years
US Healthcare payer domain knowledge at least 5 years
Experience  on Facets claims processing/payment/accumulators data model, UI and Batch processing at least 5 years
Experience working on FARM module to integrate custom IT processes at least 3 years
Writing SQL on Facets data model at least 5 years
Strong communication skills
Experience working in scaled Agile methodologies at least 3 years

Desirable Skills:

Understanding of other Facets modules like; Membership, Provider, UM at least 2 years
Understanding of Facets core batches; UMI0, XPF0, CLEU, ABIX/ABEX, MMS0, Elig0, CKMM, Capitation

Role and Responsibilities :

Work with product manager and product owner to understand business requirements for claims business operations
Coordinate with cross functional teams to onboard new business/clients to Facets
Act as liaison between business and IT development team
Translating business requirements into detailed scrum stories for development team
Create mapping between business requirements and Facets data model
Design and solution processes to enhance claims auto adjudication rate
Act as SME on Facets claims processing for the IT development team
Assist in troubleshooting production issues in Facets

E-Mail Is The Best Way To Reach Me .

Thanks N' Regards,

Prashant Yadav

IT & EBusiness Consulting Services Inc

Fax: 866 977 7575

[email protected] | www.ItecsUS.com

Keywords: user interface information technology computer associates
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Wed Dec 21 20:19:00 UTC 2022

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Location: Cerritos, California