*Urgent Need - Business Analyst with Healthcare - Santa Ana, CA- 10 to 15+
years Exp*

Job Title      Business Analyst with Healthcare
Location      Santa Ana, CA
Duration      12 Months

Rate $50-$52/hr  (GC / US Citizens  Only from Anywhere)

*Job Skills Medicaid modules like Claims Adjudication, Claims Pricing,
Claims Payment, TPL, Member Management, Financial process, Service
Authorization and Provider / Payer responsibilities.*

*Responsibilities/Requirements :*
·       * 10 to* *15+ years of experience as a Subject Matter Expert with
exposure in analyzing and providing solutions to various business and
customer needs for a Healthcare Domain.*
·         Develop business and system requirements subject areas and
reports for the Medicaid System.
·         Manage and analyze Medicaid modules and also to support reporting
and analytical queries from business users.
·         Very good knowledge and detailed understanding of US healthcare
domain
·         Complete understanding of the different integration points of
Healthcare transactions
·         End to End knowledge on Medicaid modules like Claims
Adjudication, Claims Pricing, Claims Payment, TPL, Member Management,
Financial process, Service Authorization and Provider / Payer
responsibilities
·         In depth knowledge on the MITA
·         Experience on Various EDI Healthcare transactions
·         Experience in designing new systems by analysing requirements,
studying legacy product, constructing workflow charts/diagrams, studying
system capabilities, writing detailed specification
·         Excellent verbal communication skills for the required
Interaction with Customer, demonstrate the systems in front of the senior
executives as needed and to conduct end user trainings
·         Excellent interpersonal skills to interact with customer and
convince on the solutions/approaches as needed
·         Experience on ICD 9 to 10 conversions and GEMS Techniques
·         Excellent written communication skills for detailing the Business
requirements, use case documentation, etc.,
·         Experience to work with Development and QA team to ensure that
there is a common understanding of the specification and bridge the gap if
any
·         Experience in Review the System Design document and database
document to ensure that Functional Design document is properly mapped and
traced to the requirements
·         Experience in write and maintaining user documentations
·         Experience to provide help desk support.

*Thanks & Regards,*
*Scott Norman- IT Recruiter,*
*Direct: (609) 423-7945,*
*E-mail: scott.nor...@itbtalent.com <scott.nor...@itbtalent.com>*
*URL : www.itbrainiac.com <http://www.itbrainiac.com>*
*Princeton Forrestal Village*
*116 Village Blvd, Suite 200*
*Princeton - New Jersey 08540*

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