*Senior Claims Business Analyst*

*Location - Charlotte, NC *
*Duration - 7 months **The Senior Claims Business Analyst is the lead
translational expert on Claims and Revenue Cycle system data*

   - *They want a Business Analyst who REALLY understands the financial
   side of the claims process.  They want them to understand revenue cycles
   inside and out.  They are going to want someone who has deep skills in
   financial data analysis*
   - *Must have extensive experience with* the financial side of claims
   - This BA will have a lot of long term opportunity at Premier as they
   work to build a innovative new product to do financial data analysis for
   their member hospitals.
   - The are open to people not currently residing in Charlotte, *but they
   need to be willing to drive or fly into Charlotte for an onsite interview.*

   - He prefers this to be contract to perm, but this can be contract only
   as well if it's a really strong candidate
   -
   The skills/experience that are most important are:
   1) Experience working with claims data (including but not limited to
   Preadjudicated, Post-Adjudicated Claims, CMS Claims and Claims Line Feed
   (CCLF) files)
       a.        Experience in working in with Revenue Cycle System or
   Practice Management systems from the health care system perspective is a
   requirement (not from the payer side).
       b.        Experience needs to be preferably from the provider side
   (not the Payor side)
       c.        Experience with Institutional and Professional Billing
   2) Must demonstrate knowledge of healthcare workflows and how it impacts
   the revenue cycle or practice management systems
   3) Clarity of Thought and Excellence in Communication.
   4) Ability to compose functional requirement documents and summarize
   them for the analytics and engineering teams.
   5) Self-directed, self-starter: a person with initiative and
   problem-solving skills
   6) Knowledge of SQL is a plus.

*Candidate needs to live in Charlotte, NC and we need to do in person
   interviews.*

   The Business Analyst is accountable for writing functional requirements
   for the data integration team across multiple subject areas.  The person
   filling this position should have a strong understanding of healthcare data
   across a spectrum including strong knowledge in the billing, claims and GL
   domain

   This position is responsible for collaborating directly with multiple
   groups including but not limited to Product Management, Development, QA,
   External Customer(s), internal business stakeholders to thoroughly
   understand both the customer data and how the data flows into the warehouse
   to meet customer use case analytics.

   This person will interface directly with the Product Director to
   determine priorities as well as members of the following teams –
   Architecture, Data Modeling, Data Analysts, BI Developers and Member
   Operations.

   Minimum Requirements:
   a.        Bachelor’s degree: Area of study in information systems,
   healthcare administration, clinical operation, or related discipline.
   b.        5+ years of experience: Business analysis, requirements
   analysis and management, program management, agile development methodology.


   Behavior Characteristics:
   Clarity of Thought and Excellence in Communication
   Ability to compose functional requirements and ideas into well-written
   documents
   Self-directed, self-starter: a person with initiative and
   problem-solving skills

   *Required/ Desired Skills:*
   *Bachelor’s degree. Area of study in information systems, healthcare
   administration, clinical operations or related discipline.   Required   4
   Years *
   *Business analysis, requirements analysis and management, product
   management,      Required   3 Years *
   *Experience with Claims Data -- Preadjudicated and Post-adjudicated
   Claims     Required   5   Years *
   *Experience with CMS CCLF files (Claims and Claim Line Feed)
   Required   5  Years *
   *Experience with Commercial payor's Claim files for Value-based
   (Risk-based) contracts    Highly desired   3  Years *
   *Experience with SQL for data analysis    Desired  3   Years*
   *Experience with Revenue Cycle systems data    Required    5    Years *
   *Experience with a GL system data     Highly desired    3    Years*



Priyanka Katiyar

Technical Recruiter

Nityo Infotech Corp.

Direct: 609-378-1139

Email: priyanka.kati...@nityo.com

Gtalk: puja123h...@gmail.com

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