Hi ,

We have an urgent below requirement, matching as per your experience and

Let me know availability & interest, and help me with Updated Resume, along
with Best Hourly Rate Expectations, at your earliest convenience. In case
you are not interested or unavailable, please refer anyone in your network
that you think might be a fit and interested in this position.

*Job Title*

Sr. Business Analyst


Columbia , MD

*Contract Type*

Federal Government

*Visa status*

Citizen, Green-card, H1B

*Additional details*

·         OPT not acceptable

·         Must provide copy of H1B

*Job Description:*

·         Gather, analyze and document business requirements, and develop
supporting materials such as use cases, flowcharts, models, specifications,
and reports

·         Liaison with customers, users, and team to foster collaboration
and consensus

·         Provide recommendations for improving the system capabilities and
performance to enhance the value for end users

·         Follow approved procedures and templates, and implement process

·         Champion the needs of the users throughout the software
development life cycle

·         Collaborate with QA analysts to elaborate and validate  test cases

·         Support the service/help desk in responding to technical and data
questions that are received from end users, and support the users directly
when necessary

·         Maintain and report on various project metrics as required

*Required Skills & Experience*

·         Bachelor's degree in computer science, business administration or

·         5+ years of experience analyzing, processing or adjudicating
medical claims data

·         7+ years of experience in leading requirements capture,
management and analysis activities, including conducting user interviews,
leading and facilitating JAD sessions, and developing business process
models and formal specifications

·         Thorough understanding of claims and healthcare terminology and
codes as published by CPT, ICD, HCPCS, and DRG manuals

·         Experience with large volume data mining tools like Business
Objects and SAS

·         Excellent analytical skills, the ability to integrate information
from multiple sources to execute effectively and efficiently in a dynamic

·         Must have experience with healthcare policy, enrollment and
coordination of benefits

·         Effectively demonstrate a working knowledge of business
operations, decision and intelligence systems concepts, and database

·         Must have excellent verbal and written communication skills,
ability to work independently with minimal supervision, be a team player,
and be well organized and efficient with excellent judgment,
problem-solving and decision-making skills

*Desired Skills & Experience*

·         Experience with Medicare Administrative Contractor (MAC) systems,
Recovery Audit Contractor (RAC) systems, Centers of Medicare and Medicaid
Services (CMS) Integrated Data Repository, and CMS fraud detection and
prevention solutions

·         Knowledge of the Medicare FFS claims processing systems and
business procedures

·         Past experience as a Zone Program Integrity Contractor (ZPIC),
Program Safeguard Contractor (PSC), or Medicare Drug Integrity Contractor
(MEDIC) highly desirable

·         Experience in developing requirements for portals and content
management systems

·         Experience working in an Agile and/or CMMI SDLC.

·         Experience with release management tools such as DOORS, MKS, QC,

·         Certified Fraud Examiner (CFE) or Accredited Health Care Fraud
Investigator (AHFI) a plus.

·         Certified Professional Coder-CPC or CCS preferred.

Thanks and Regards,

Kriti Gakhar | Technical Recruiter

*Technology Resource Group Inc.*
3736 Hillsdale Court, Santa Clara, CA 95051

*Office:*408-709-1760 Ext : 748

| *Fax:* 408-213-8316 |

*Hangout :  *kritigakhar2...@gmail.com

*kr...@tresourceinc.com <kr...@tresourceinc.com>* | *www.tresourceinc.com

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