*Requirement for **Sr. BA with Facets, EDI and HIPPA*
*Location:* MD *Duration:* 6+ Months *Role Responsibilites:* • Operations support • Analytical day to day support for an EDI system and system enhancements. • Incident Control (IC) resolution to facilitate claims processing • Analysis and search of moderately complex system problems, coordinating with other parties as necessary and tracking to resolution • Development, documentation and communication of alternative workarounds for system defects • Performing business support responsibilities to include production monitoring, file maintenance, ad hoc reporting and consultation with internal and external users • Installation of quarterly Accounts Receivable updates, including off-cycle critical and emergency modifications Supporting Systems improvements as a result of Corporate Initiatives, Legislative Mandates and non-corporate projects • User Acceptance Testing support. • Daily Trading Partner Reconcilement and Monthly Invoice support *Required Skills* • Comprehensive, hands-on experience working with FACETS 4.5 and 4.7. • Experience in translation of EDI transactions (837,835) to FACETS Gateway format. • Experience with HIPAA X12 transaction sets 835, 837, 270, 271, 276, 277, both 4010 and 5010 • 4+ Years of Business analysis/ system support experience with Health Insurance System required *Preferred* • Extensive HIPAA analysis and assessment, knowledge of HIPAA rules and regulations. • Enrollment and billing business experience and technical knowledge. • Experience with CareFirst preferred • Strong written and verbal communication skills • 3-5 years of experience with Functional specifications • Working knowledge of TSO, Fileaid, and SQL. • Experience with National Provider Identifier (NPI) and cross walk to legacy ID. • Solid expertise with MS Word, Excel, PowerPoint, and Project • Experience with Serena ChangeMan and Serena TeamTrack. • Support system requirements walkthroughs/sessions (JAD) with Business Owners, Stakeholders, SME’s and technical team. • Capture, document and validate business and functional requirements specifications. • Develop and finalize test plans, test scripts, traceability matrices, and use cases. • Development, planning and execution of overall system/regression testing activities to ensure the application meets all business and functional requirements as documented in traceability matrices. • Function as a Business liaison to the Design and Development teams during translation of requirements specifications into detailed design. • Collaborative problem resolution on day to day issues • Translate business requirements into structured flow diagrams, specifications. • Coordinate with business sponsor for business line deliverables such as training materials and SOPs • Ability to coordinate with internal customers, participating on a project team on a day to day basis, while effectively providing status to Management. • Requirements Development and Management (to include experience with Use Cases and Requirements Management Software) • Software Testing (to include User Acceptance Testing and experience with Testing Tools) • Project Management • Knowledge of Software Development Life Cycles (to include RUP/Iterative) Thanks & Regards *Ajay * *(469-713-1976 (M)* * 972-607-9595 Ext- 6 (O))* ePower. Inc, 7423 Las Colinas Blvd, Suite 102, Irving, Texas 75063. [email protected] Fax: (972) 409-9018 www.epowerus.com -- You received this message because you are subscribed to the Google Groups "Dot Net Discussions" group. To post to this group, send email to [email protected]. To unsubscribe from this group, send email to [email protected]. For more options, visit this group at http://groups.google.com/group/dot-net-discussions?hl=en.
