Hi Associate,

We have an urgent requirement as follows:

Please respond with resumes in MS-Word Format with the following details.

Full Name:

Contact No:

Email:

Current Location:

Pay Rate:

Visa Status:



*Position: Sr. Business Analyst*

*Location: **Los Angeles, CA**, CA*

*Duration: Long-term*



*Mandatory Skills:- *

*ICD-9 to ICD-10*

*Testing*

*HIPAA*

*Processing Medical and Hospital Claims*



*Description:*

·         7-9 years of Business Analysis experience with in-depth knowledge
of business process in Healthcare Industry.

·         2 years of experience in ICD-9 to ICD-10 transition Project

·         Work experience with the Client for ICD9 to ICD 10 Conversion
Project

·         Experience of working in onsite/offshore model

·         Ability to provide solutions for problem statements/areas

·         Experience on creating Test Scenarios and Test cases for ICD9 –
ICD10 Testing Project.

·         Experience on creating Impact Assessment, Testing Templates, Test
Scenarios related to ICD9 – ICD 10 Conversion Project.

·         Experience on Variance Analysis for ICD9 – ICD10 Transition
Project.

·         Experience on Preparing the BRD, FRD and conducted reviews with
the stake holders.

·         Gathering business requirements from the Business team and
generating system workflows.

·         Good knowledge on forward mapping from ICD 9 to ICD10 and
backward mapping from ICD10 to ICD9 using General equivalence Mappings
(GEM).

·         Good knowledge in Health plan, Benefit Configuration &
Utilization Management.

·         Extensive knowledge about the various types of health insurance
programs such as : Medicaid, Medicare (Part A, B, C and D), PPO(Preferred
provider organization), HMO (Health maintenance organization)

·         Experience in HIPAA ANSI X12 transactions like
270/271,276/277,820, 835, 837, 997

·         Expertise in Business Modeling and UML Diagrams (Use Case
Diagrams, Activity Diagrams, Sequence Diagrams) using MS Visio or any other
business process flow tools

·         Good experience and knowledge of the Systems Development Life
Cycle (SDLC), Waterfall, Agile, Scrum.

·         Good Knowledge on QNXT configuration

·         Experienced in Processing Medical and Hospital Claims



*Thanks & Regards,*



Mohammed Hameed

*SYSTEL INC* | Atlanta, GA

A Certified (MBE) Minority Business Enterprise

Direct: +1- 678-250-9865

Email: [email protected]



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