*Business Analyst- Health Care Exp*
# of positions : 8 Location: Columbia, SC Duration: 12 Months *Citizens|Green Card| EADs only* *Skill* *Required /Preferred Skill?* *Required Experience (Yrs)* Business Process Modeling (BPM) Required 2 - 4 Years Agile/Scrum Methodology Required JAD Sessions Required Business Analyst Required 4 - 6 Years Documentation Required 4 - 6 Years Public Sector Required 6 + Years ICD-9/ICD-10 - International Statistical Classification of Diseases and Related Health Problems Preferred 4 - 6 Years IT Healthcare Systems Preferred 6 + Years MECT - Medicaid Enterprise Certification Toolkit Preferred 4 - 6 Years MITA - Medicaid Information Technology Architecture Preferred 4 - 6 Years *Specific duties :* · Working and Using an Agile Methodology as it relates to completing sprints and working on tasks this included Daily Standups and reporting. · Develop business rules via interviews, translation of governing documents and other means. · Conduct JAD Sessions with the Product Owners and other · CONOPS Development as it relates to Claims (ASO) · Serve as team expert on Claim Adjudication, Reference, Waiver Programs, Managed Care Organization, Business Rules, and related topics. · Assist other team members in performing business rules, requirements, and modeling duties. · Research business rules, requirements, and models. · Maintain business rules, requirements, and models in a repository. *Required Skills (Rank In Order Of Importance):* · 8+ years' experience in government IT projects as a business analyst or related duties · 6+ years' experience eliciting, mining, and documenting business rules · Strong knowledge of formal business rules methodologies · Strong understanding of business modeling techniques · Strong Understanding of State/Commercial Medicaid Claims, Benefit Plans, Claims Payment Cycle, Waiver Programs and Reference · Ability to effectively communicate to executive management, line management, project management, and team members. · Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents. · Superb written and oral communications skills, including the ability to write requirements and Use Cases. Very Strong proficiency in English is required *Required Education: *Bachelor's degree in a technical, business, or healthcare field. *Preferred Skills (Rank In Order Of Importance):* · Knowledge of the Agile Business Rules Development (ARBD) · Knowledge of Agile Methodologies · General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations) · MMIS experience (project or operations) · Medicaid eligibility experience (project or operations) · Microsoft Office Project/Project Server -- Thank you *Sandeep R Tummuru || Resource Manager* *Clear Thought Solutions LLC.,* *Ph: 919 290 4346* *Email : **sand...@clearthoughtsolutions.com*<sand...@clearthoughtsolutions.com> *,* *gtalk : **sandy4cts* *Website : **www.clearthoughtsolutions.com <http://www.clearthoughtsolutions.com/>* -- You received this message because you are subscribed to the Google Groups "REQSRESUMES" group. To unsubscribe from this group and stop receiving emails from it, send an email to reqsresumes+unsubscr...@googlegroups.com. To post to this group, send email to email@example.com. Visit this group at http://groups.google.com/group/reqsresumes. For more options, visit https://groups.google.com/d/optout.