Hello Friends,

Please go through the below requirement and share suitable consultants with
their updated resume, rates and contact details.

*Please send resumes to [email protected]
<[email protected]>*

*Healthcare Business Analyst-State experience*
*Springfield, IL*

*​GC / USC *

Must Have skills:

1) 7-10  year’s Experience in Healthcare industry with extensive knowledge
on Medicaid Processes
2) 5+ years of experience working with  managed care business practices,
either in Medicaid, Medicare or in the private sector
3) 4+ years of experience analyzing data, preferably related to health care
coordination, utilization management, health outcomes, grievance and
appeals to determine compliance with requirements prefereably in MMIS space
*3) Exposure to MITA Framework and experience working on any State MMIS
systems*
4) Experience or ability to learn Share Point
5) 3+ years of experience with analysis/development of healthcare EDI files
and familiarity with any database tools (ex: SQL)
6) 2+ Experience producing professional business documentation, Ability to
facilitate business requirements and discussions with client staff on
business and functional topics
7) Analyze current business processes, suggest improvements, and
participate in design of new functionality
8) Create functional designs and produce business process documents for
claim processing, reports, and configurations, such as workflow and/or rule
9) Excellent written and oral communication skills
10) Experience in MS-word/excel/PowerPoint

Roles and Responsibilities:

Client requires a Medicaid subject matter expert (SME) with experience in
managed care business practice for managing the monitoring of the
Department's managed care program.  The SME will provide business expertise
to the project as required by the client. The SME will be responsible for
understanding the business rules and related legacy systems that support
the current MMIS managed care processes.  The SME will participate in
requirements analysis and quality assurance testing. The SME will be
required to document defects in quality assurance testing, and may be
required to review requirements documentation to determine accuracy of the
intended solution

Desired skills:

*Knowledge of MMIS system*, Healthcare knowledge, experience writing
business requirements, familiarity with tool such as Share point and
Rational Tools, good written and verbal communication skills






​Best ​
Regards,
Piyush
​​

*IDC Technologies Inc.*
1851 McCarthy Boulevard, Suite 116,
​
Milpitas, CA, USA, 95035.

*Phone – **408 459 5638*
*Email:  – * *[email protected] <[email protected]>*
YM – piyush61j
Hangouts – piyush61j
<https://www.linkedin.com/pub/piyush-singh/75/b24/455>


​URL
: www.idctechnologies.com
​
CMM LEVEL 3 Company & ISO 9001-2008 Certified

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