Dear Partner,

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

*Business Data Analyst (Claims)*

*Location: Franklin, TN*

*Duration: 12+ Months*

*All candidates must submit their work authorization proof, photo id and
education proof.*

*Mandatory Skills:*

•        Ability to look at adjudicated claims / membership / eligibility
files and

•        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

*Desired Skills:*

•        Proficient with MS Office, including Visio

•        Ability to understand SQL stored procedures, SAS code

*Job Responsibilities:*

•        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
validation processes



   Thanks & Regards,


   *DirectionStaff Inc.*

   * <>*
   Gmail Id :
   YMail Id :  *recruiter.atul@yahoo. <>in *

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