Hope you are doing great!
Please find below the urgent requirement and let me know if you have any
available consultant for the same.
Please share resume at atu...@directionstaff.com
*Business Data Analyst (Claims)*
*Location: Franklin, TN*
*Duration: 12+ Months*
*All candidates must submit their work authorization proof, photo id and
• Ability to look at adjudicated claims / membership / eligibility
• Different types of claims: Medicare, Medicaid, Commercial,
Professional, Institutional, etc.
• Identify issues with the claims / eligibility data
• Identify solutions to fix data issues
• Use benchmark and supply missing data to facilitate client
*Ability to work closely and communicate with client team analysts to:*
• Report issues with the data
• Request for missing data from end client
• Share data analysis findings in a structured manner
• Confirm approach to fix data issues in the claims / eligibility
*Ability to work closely and communicate with SQL Developer(s) to:*
• Ability to write SQL queries to identify data issues independently
(Microsoft SQL Server)
• Ability to analyze business rules, perform data mapping and guide
SQL developers to create ETL processes.
*Has experience working with:*
• Data editing tools (e.g. VEDIT, NOTEPAD++)
• Data profiling / analyzing tools (e.g. SQL Profiler, DQ Analyzer
• SQL queries and databases
• Different Crosswalk tables (used in the health insurance domain)
• Knowledge of automated utilization review, specialty benefit
management and data analysis systems
• Excellent verbal and written communication skills and the ability
to interact professionally with a diverse group, executives, managers, and
subject matter experts
• Proficient with MS Office, including Visio
• Ability to understand SQL stored procedures, SAS code
• Understands claims process and is able to interpret the
information in a claim file
• Work with Client Analytics teams and elicit requirements using
document analysis, requirements workshops, surveys, and business process
• Proactively communicate and collaborate with external and internal
customers to analyze data needs, as required
• Serve as a Subject Matter Expert in Claims Eligibility and
Thanks & Regards,
Gmail Id : atuld...@gmail.com
YMail Id : *recruiter.atul@yahoo. <recruiter.a...@yahoo.com>in *
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