Dear Folks,
Wishes for the Day !!!
This is Shawn from Riviera Consulting Inc.
We Need consultant for Business Analyst with HIPPA 5010 (Health care
experience)
Please share suitable profiles to sh...@rivieraconsult.com
*Job Title : Business Analyst with HIPPA 5010 (Health care
experience)
Location : Columbia, SC
Duration : 12+ months
Rate : $50/Hr*
Overview:
HIPAA 5010 Business Analyst
SC Medicaid seeks expert in Business Analysis to serve as primary analyst to
define business requirements and business process and policy changes related
to the South Carolina Medicaid system during the conversion from the
existing HIPAA 4010A formats to the future HIPAA 5010A format, which is
required by CMS on January 12, 2012.
Individual must possess the following:
Business Analysis experience in a health care delivery system
· Bachelor’s degree and 5 or more years experience in business
process analysis/re-engineering working with business
clients and technical staff to develop business requirements for
implementation of computer applications.
· Two years experience in a Medicaid or Medicare agency or
commercial health/casualty insurance organization working
directly with HIPAA Transactions and Code Set Rule.
· Must be able to work independently within guidelines, developing
and executing test scripts, test cases, data sets and user
procedures.
· Must have strong organization, planning, problem solving, and
decision making skills, and be able to prioritize and manage
multiple tasks simultaneously.
· Must work well within a team environment and have exceptional
collaborative skills.
· Must be service oriented with strong interpersonal skills with all
levels of business and technical staff.
· Must have good overall PC skills including the use of Microsoft
Office products
Must be a self-starter and self-motivated. Must be able to quickly learn and
apply new technology.
Excellent written and verbal communication skills
Ability to effectively work and communicate, in both oral and written, with
all levels of the Agency from frontline workers to Executive Staff as well
as the Contractor(s)
Independent and deadline-oriented, with ability to translate broad and
complex concepts to diverse audiences.
Knowledge of MMIS is preferable
Scope of Work:
· Gain understanding of SC Medicaid policy and billing requirements
and document needed changes to policy and billing
manuals related to HIPAA 5010, through facilitation with internal
SCDHHS program areas.
· Analyze and document Medicaid EDI transactions issues related to
implementation of HIPAA 5010 and ensure these
issues are documented and addressed in the approach to th the
HIPAA 5010 version.
· Analyze and document HIPAA 5010 requirements related to data
elements, data exchange and data transmission to
SCDHHS stakeholders
· Incorporate a vendor management plan in strategic planning to
include a vendor impact analysis to document how each
vendor is affected by HIPAA 5010 and create approach to address
these vendor issues
· Document business needs for the HIPAA 5010 gap analysis
· Information gathering during requirements activities must be
translated into a comprehensive requirements document to be
used by Clemson University to develop the system approach to HIPAA
5010
· Determine needed HIPAA 5010 training for both internal staff and
Medicaid provider groups, and assist in the development
of training materials
-----------------------------------------
Warm Regards ,
Shawn - Sr. Technical Recruiter
Riviera Consulting LLC.
Office: (201)-710-8278
Email: sh...@rivieraconsult.com
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