I have a very urgent DIRECT CLIENT requirement for Healthcare Busniness
Analyst w / ICD-9/10 and HIPAA in Raleigh, NC. Please Let Me Know If you
have available candidate, please reply with their word resume, location,
rate and contact number.

Please send the resumes at su...@cncconsulting.com

Job Title: Healthcare Busniness Analyst w / ICD-9/10 and HIPAA
Location: Raleigh, NC
Duration: 6 months

NC Dept. of Health and Human Services (DHHS) is seeking a Business Systems
Analyst to perform work relative to the Transformed Medicaid Statistical
Information System reporting requirement as part of the Federal mandate.
This position involves the ability to research, analyze and map complex
information from a variety of healthcare data sources in order to evaluate
and define the data mapping requirements for the technical developers.

This position is responsible for researching regulatory material and
understanding business processes. Candidate should have working knowledge
of  healthcare related data (Claims, Eligibility, Provider etc.)  and an
understanding  of program/reporting requirements, federal regulations,
State laws, and change management processes. Candidate must be able to
create, review and validate the requirements, design, and testing
documentation as well as conduct and/or review gap analysis. This
individual must be able to anticipate potential problems, develop possible
solutions, track problems identified, and participate in all aspects of the
project. They must be able to exercise critical and creative thinking when
identifying potential problems with the requirements, data mapping,
researching/resolving action items, and problems detected  in all phases.
This position should assist the technical team  in analyzing and resolving
the business and mapping requirements issues. This position should develop
testing scenarios and cases and analyze issues as part of testing.  In
addition, this individual must be able to discuss potential solutions with
team members , divisions and other stakeholders.

Candidate will also interact with various stakeholders and team members to
discuss alternative solutions by actively contributing suggestions and
sharing information and should be team player. Ad hoc participation in
various work groups/discussions will be required.

Experience with health care transactions and code sets such as HIPAA,
NCPDP, ICD-9/ICD-10 , various claim types etc
Required 7 Years
Hands-on experience in data mapping
Required 7 Years
Experience with Business Analysis methodologies and problem solving
Required 7 Years
Hands-on exerience in testing using SAS EG, DI and basic knowledge of SAS
Required 5 Years
Knowledge of gap analysis including the ability to conduct an effective gap
analysis and interpret/document the results
Required 7 Years
Experience in solution testing methodologies and hands on experience
Required 7 Years
Experience in test scenarios, test cases development.
Required 7 Years
Hands-on experience on testing tools will be an advantage

Domain knowledge of Medicaid and/or MMIS
Highly desired

Ability to provide documentation and reports used to evaluate impacts on
policies and operations
Highly desired


Sunny Roy
(201) 588-9137  Phone

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