Hello Friends: Kindly share the profile for below position:
*Job Title: Business Analyst / Medicaid SME * *Location: Springfield, IL* *Must Have skills:* 1) 7-10 year’s Experience in Healthcare industry with extensive knowledge on Illinois 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 *Kindly forward the resume @ *[email protected] *Thanks,* *Saurabh Kumar* *e-Solutions,Inc* Email: [email protected] Address: 2 N. Market St., #400, San Jose, CA - 95113 -- You received this message because you are subscribed to the Google Groups "Hot List" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To post to this group, send email to [email protected]. Visit this group at https://groups.google.com/group/directclienteq. For more options, visit https://groups.google.com/d/optout.
