Hello Professionals,

Hope you are doing well.

 

Role: Business Analyst with EDI Experience

Location: Rancho Cordova, CA

Long Term Contract

 

Only Visa- US Citizen, Green Card, GC EAD, L2 EAD and H4 EAD

 

Job Description:

.      Strong knowledge of managed care payer requirements, operational
improvements and procedures.

.      Should be an experienced Business Analyst in the Healthcare Industry
on various areas like Claim Processing, Billing/Invoicing, and Customer
Care.

.      Position requires Knowledge and experience in full SDLC with agile
and waterfall methodologies.

.      Expertise needed in EDI and HIPAA Testing Privacy with multiple
transactions exposure such as 837 for submitting claims, 835 for payments,
834 for benefit enrollment, and 820 for premium payments to insurance
products, 270, 271 for healthcare benefits and eligibility, 276, 277 for
claims status and 278 for transmitting health care service information.

.      Knowledge is desirable ETL (Extract, Transform and Load) of data into
a data ware house/date mart and Business Intelligence (BI) tools like
Business Objects Modules 

.      Analyst should be able Identify Member, Payers, Provider, Coverage,
Medicare, and Medicaid.

.      Should be able to Write, update and groom Use cases, to come up with
detailed Requirements..

.      Need extensive experience with Members/Subscribers, Products,
Providers, Claims processing and Billing modules.

.      Should be able to Identify gaps and performed gap analysis in
requirements and come up with recommendations to improve processes.

.      Need Extensive experience in developing use cases, creating screen
mockups, conducting gap analysis and impact analysis, SWOT analysis, risk
analysis.

.      Should perform Design and review of various documents including the
Software Requirement Specifications (SRS), Business requirements document
(BRD), Use Case Specifications, Functional Specifications (FSD), Systems
Design Specification (SDS), Requirement Traceability Matrix (RTM) and
testing documents.

 

 

Thanks & Regards

Deependra Kumar

 

IDC Technologies, Inc
Work: 408-882-6922
Mailto:  <mailto:p...@idctechnologies.com> deependr...@idctechnologies.com

920 Hillview Court, Suite 250,
Milpitas, CA 95035
_____________________________________

Empowering Technologies Services

Remote Services | IT Services | BPO | 

IT Consulting | Staffing Solutions |

_____________________________________

 

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