*Respond to al...@catamerica.com* Job Title: Business Analyst with Healthcare Experience Location: Columbia, South Carolina Duration: 2+ month
*SCOPE OF THE PROJECT:* Client is seeking a Senior Business Systems Analysts (BSA) with extensive experience and strong healthcare insurance expertise (preferably in Medicaid) to assist with its Replacement Medicaid Management Information System (MMIS) Project and the ICD10 Project. * DAILY DUTIES / RESPONSIBILITIES:* The Sr. Business Systems Analyst will assist in: The development/formulation and validation of all requirement engineering processes, standards, procedures, and guidelines; The requirements development execution, including the elicitation, analysis, specification and validation of requirements; The requirements management processes, including change control, version control, tracking & status reporting, and traceability; Providing leadership to requirement teams, serving as a central point of contact through mentoring and motivating other business system analysts in a positive manner; Guiding both project team members and customers in the development process; providing analysis and solution definitions, to ensure solutions meet customer objectives; Providing requirement interpretation and guidance to technical and test teams; Proactively identifying risks, issues, and action items leading to possible solutions; Interacting with internal and external organizations and persons as deemed appropriate by the Requirements Manager (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders). *REQUIRED SKILLS * Client is seeking individuals with broad experience in other states or other payers (commercial or government) to help plant the seeds of innovation in the project. An understanding of national trends and best practices will be valuable to the project. *Experience in one or more of the following areas:* Healthcare claims processing including professional and institutional claims, dental claims, pharmacy claims, and durable medical equipment claims. Knowledge of Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) transactions as well as the impacts of Health Information Technology (HIT) and Electronic Health Record (EHR) legislation is also desired. Provider management processes to include enrollment, credentialing, verification, outreach, training needs, EHRs, Health Information Exchanges (HIEs). Member/beneficiary management including eligibility determination, enrollment, managed care, education, outreach, and grievances/appeals Experience eliciting and managing requirements on large IT projects. Experience in MMIS or other healthcare claims system(s). Experience in successfully transitioning systems and/or procedures/processes. Experience with business process management (BPM). Experience with software tools; requirements management, configuration management, version control, test management, etc. An understanding of the Medicaid Information Technology Architecture (MITA) Technical computer knowledge Experience with complex modeling techniques Technical writing skills Strong understanding of project management practices, including software development life-cycles, and how to manage to the critical path through demonstrated leadership. Excellent teamwork and interpersonal skills. Understanding of how IT affects an organization and how it links to business processes. Excellent analytical skills. Good conceptual skills. Experience with test plans, test matrices, project plans, and scope & design documents. Ability to influence and negotiate solutions to business problems. Superb written and oral communications skills. Strong proficiency in English is required. Able to communicate effectively with technical and non-technical audiences, including the ability to express complex technical and business concepts to management levels, peers, and business units. Impeccable integrity. This is a high visibility project and will impact significant expenditures of public funds. Willingness and ability to effectively engage with people and organizations in a high intensity environment. Very truly, *Allen Khan *| *Sr Technical Recruiter* *CAT* *Technology Inc.** *Voice: 201-257-5081ext 265 | Fax: 201 727 9296 Hasbrouck Heights | New Jersey E.-mail ID: al...@catamerica.com Gmail ID : khan.allencatame...@gmail.com -- You received this message because you are subscribed to the Google Groups "Ajax-DOT-NET-FAQ" group. To post to this group, send email to ajax-dot-net-faq@googlegroups.com. To unsubscribe from this group, send email to ajax-dot-net-faq+unsubscr...@googlegroups.com. For more options, visit this group at http://groups.google.com/group/ajax-dot-net-faq?hl=en.
