*Job Title: Business System Analsyt* Location: Sunnyvale CA <http://www.zillow.com/sunnyvale-ca/>
*Duration: Full Time* *Job Description:* *Requirements* · 8-10 years of relevant System Analysis and Configuration experience with Healthcare Payer/Insurance systems (Medical, Dental and Behavior Health plans), or equivalent combination of education and work experience (i.e. undergraduate degree and 4-6 years relevant work experience) · Functional expertise in enrollment processing, claim processing, provider management, provider contracting and pricing, EDI (HIPAA Transactions) processing, integration · Intermediate skills with TriZetto Facets & QNXT solutions, including: Hosp & Medical Claims, Processing Control Agent / Set Up, Product Build from Summary, NetworX Facets Pricing, Core Facets Pricing, Provider - Networks/Relationships, EDI Eligibilty (HIPAA 834, 270, 271), Eligibility / Enrollment Data Model & Structure, Member/Eligibility Input & Output Feeds · Intermediate to advanced skills with Microsoft Excel, Access, Word, Outlook, PowerPoint and Visio · Intermediate to advanced skills with SQL and SQL tools (SQL Developer, TOAD, etc.) with a working knowledge of relational databases and structure · In depth knowledge of Medicaid and Dual Medicare products · Experience creating and analyzing business process flow diagrams *Preferences* · Bachelor’s Degree or equivalent training/experience · Exceptional verbal and written communication skills, and a strong client-facing presence · Experience on other healthcare insurance payer systems (ikaSystems, Xcelys, DIAMOND 950, Peradigm, AMISYS, xpress, etc.). · Experience with Dual SNIP, MMS/MME · Working knowledge of the Affordable Care Act/Health Insurance Exchange · Knowledge of government run programs in the healthcare insurance industry Thanks, *Patrick Williams* *Senoir Recruiter* 14301 N ,87th Street Suite # 317 * Scottsdale, AZ 85260 Phone : 480-787-5609 Ext 102|| Fax :1-(877) 624-0440 Email: *[email protected]* <[email protected]> | http://www.kollasoft.com SBE Certified | DBE Certified -State of Arizona an -- You received this message because you are subscribed to the Google Groups "SAP BASIS" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To post to this group, send email to [email protected]. Visit this group at http://groups.google.com/group/sap-basis. For more options, visit https://groups.google.com/d/optout.
