Hello Partners,


We are looking for *Sr. Business Analyst with MMIS* for one of our client
at *Columbia, South Carolina*. Please let me know your interest.



*Sr. Business Analyst with MMIS*

*Location: Columbia, South Carolina*

*Duration: 12 months*

*Rate: $45/hr*



Subject matter areas include: provider management, member (beneficiary)
management/eligibility, claims (professional, institutional, pharmacy,
dental, durable medical equipment, transportation, etc.), third party
liability, *claims payment, and State budget assignments, financial
management, provider reimbursement methodology,* drug rebate, prior
authorization, managed care, behavioral health, long-term care, program
integrity, electronic health records, benefit plan administration, etc.



Familiarity with X12 EDI transactions, and the Affordable Care Act and it
impacts on Medicaid eligibility and health insurance exchanges is also
beneficial.





*Required Skills:*

·         Five years as business analyst experience required.

·         Experience with* claims payment and financial* systems

·         Experience with medicaid budget assignments and financial general
ledger reporting

·         Strong background and at least six years experience in healthcare
insurance *business* operations (payer or provider side; government or
commercial side). note: it operations are not the same as business
operations.

·         At least four years experience in healthcare insurance it
software/systems implementations performing duties described in the “daily
duties/responsibilities” section above.

·         Ability to properly document business requirements.

·         Ability to interpret business process and business data models.

·         Vendor management experience –

·         Superb written and oral communications skills, including the
ability to give presentations to executive management. Strong proficiency
in english is required.

·         Impeccable integrity. This project will have very high visibility
and will impact significant expenditures of public funds. Candidates must
be confident with their abilities to make correct decisions and the courage
to speak out when necessary.

·         Willingness and ability to effectively engage with people and
organizations on a continuous basis.

·         Agile, waterfall, sdlc, plc

·         Requirements gathering experience





*Thanks & Regards*

*Dev Chauhan*

*International Technical Solutions (ITS)*

D: 206-274-4684

F: 206-319-4579

[email protected] <[email protected]>



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