Please send rate, resume and contact information to Deepak.S@shstinc.com or call me if you have any questions.
Job: Sr. Business Analyst with QA Claims experience
Duration: 4+ months
Location: Downtown Minneapolis, MN
Could you please 1) give a brief statement and/or 2) list years of experience with each of the required and desired skills below?
Skill Sets Needed:
Six plus years as a Senior Business Analyst in the health care claims processing.
Must have applicable QA claims health care experience for 2 – 3 years.
Experience in working with claims accumulators that cross apply to medical and pharmacy benefits.
Understanding of Medicaid & Medicare benefits is preferred
Strong analytical and technical skills
Good verbal and written communication
Prior experience with back office functions, government programs and/or the Facets product preferred
Experience with the implementation of healthcare operations software solutions
Description of Work to Be Performed and the Specific Skill Sets Needed:
Roles and Responsibilities:
The Senior Business Analyst will provide business analysis and quality assurance services implementing a new product with client delegated vendor that is accountable to for claims processing .
In conjunction with other technical staff on the project team, work could include:
Business Analysis
Build process flows and procedures, review existing documentation and define the Gaps. Complete updates to existing documentation to fill gaps.
Document any current operational gaps and incorporate changes to future operations if applicable
Aligning the Integrated project plan and all of their vendors / partners
Develop future state recommendations and vendor/management oversight toolkit.
Research and develop processes for implementation and oversight.
Identify, analyze, document, communicate and validate requirements for changes to our core and supporting software products and business processes.
Provide support, as necessary, for internal audit and impacts related to outsourcing Medicaid claims processing.
Quality Assurance
Develop test plan with business areas and delegated vendors
Develop and execute test cases
Create and maintain test data
Document test results and track defects
Skill Sets Needed:
Six plus years as a Senior Business Analyst in the health care claims processing.
Must have applicable QA claims health care experience for 2 – 3 years.
Experience in working with claims accumulators that cross apply to medical and pharmacy benefits.
Understanding of Medicaid & Medicare benefits is preferred
Strong analytical and technical skills
Good verbal and written communication
Prior experience with back office functions, government programs and/or the Facets product preferred
Experience with the implementation of healthcare operations software solutions
Deepak Rana
Technical Manager
E-mail : Deepak.s@shstinc.com
Direct Line : 412-450-1316 Ext 114
You received this message because you are subscribed to the Google Groups "SureShotJobs" group.
To unsubscribe from this group and stop receiving emails from it, send an email to sureshotjobs+unsubscribe@googlegroups.com.
To post to this group, send email to sureshotjobs@googlegroups.com.
Visit this group at http://groups.google.com/group/sureshotjobs.
For more options, visit https://groups.google.com/d/optout.
No comments:
Post a Comment