Greetings,


My name is Kriti and I am Recruiting Manager at eTeam Inc is a global
contingency staffing firm servicing fortune 1000 clients across North
America, Europe and Asia. We have an excellent job opportunity with one of
our clients.



*Kindly send the resume to Aeimen Firdous - afird...@eteaminc.com
<afird...@eteaminc.com> ,Contact Number: 7323382746*



*Role: HealthCare Business/Systems Analyst*

*Location- remote*

Responsibilities:

·         Candidate will work on Conduent’s HealthCare claims platform
projects.

·         Assists in developing Provider Contracts, Fee Schedules and
Benefits to ensure efficient implementation and administration.

·         Monitor state bulletins and banners to ensure timely, accurate
submission and implementation of benefit and/or rate changes.

·         Work and communicate effectively with all project stakeholders
including the client, vendors, peers and Conduent management

·         Analyze and document existing business processes and data, and
work towards designing the new processes.

·         Facilitate discussions on various functionality challenges and
design issues between client, vendor and internal teams

·         Perform various levels of system functionality and process
testing, document and present test results

·         Identify, clarify, and document business requirements

·         Create detailed documentation of system incidents/defects

·         Create flow diagrams and project documentation

·         Recommend solutions to business problems.

·         Regular use of Microsoft Word, Excel, PowerPoint, etc. in support
of project documentation and communication needs

·         Complies with all Policies and Standards



All other duties as assigned

Required Qualifications:

·         Bachelor’s Degree or equivalent combination of education and
experience

·         5 years’ experience working as a Business/Systems Analyst

·         3+ years of Provider Contract implementation, contract analysis
or claims analysis experience in managed care, health care setting.

·         Has clear understanding of rate methodology and contract language.

·         Optum CES (Claims Editing Software) or similar Claims Editing
System configuration is a plus.

·         Experience with Member Eligibility is a plus.

·         Demonstrates strong problem solving and analytical skills.

·         Demonstrated experience with requirements analysis and
documentation.

·         Demonstrated experience with the structured testing of systems
and business processes.

Preferred Qualifications:

HealthCare domain background experience

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