*Immediate Need Business Analyst (Healthcare) Rate-$55-HR {Interview
ASAP} *
*Position : Business Analyst (Healthcare)*
*Location : Santa Ana, CA*
*Duration : 12+Months*
*{Need Green Card and US Citizens Only}*
*Job Skils:Medicaid modules like Claims Adjudication, Claims Pricing,
Claims Payment, TPL,*
* Member Management, Financial process, Service Authorization and Provider
/ Payer responsibilities.*
*Description:*
*12+ years of experience as a Subject Matter Expert with exposure in
analyzing*
*and providing solutions to various business and customer needs for a
Healthcare Domain.*
*Develop business and system requirements subject areas and reports for the
Medicaid System.*
*Manage and analyze Medicaid modules and also to support reporting and
analytical queries from business users.*
*Very good knowledge and detailed understanding of US healthcare domain*
*Complete understanding of the different integration points of Healthcare
transactions*
*End to End knowledge on Medicaid modules like Claims Adjudication, Claims
Pricing,*
*Claims Payment, TPL, Member Management, Financial process, Service
Authorization and Provider / Payer responsibilities*
*In depth knowledge on the MITA*
*Experience on Various EDI Healthcare transactions*
*Experience in designing new systems by analysing requirements, studying
legacy product*
*constructing workflow charts/diagrams, studying system capabilities,
writing detailed specifications*
*Excellent verbal communication skills for the required Interaction with
Customer, demonstrate the *
*systems in front of the senior executives as needed and to conduct end
user trainings*
*Excellent interpersonal skills to interact with customer and convince on
the solutions/approaches as needed*
*Experience on ICD 9 to 10 conversions and GEMS Techniques*
*Excellent written communication skills for detailing the Business
requirements, use case documentation, etc.,*
*Experience to work with Development and QA team to ensure that there is a
common understanding *
*of the specification and bridge the gap if any*
*Experience in Review the System Design document and database document to
ensure that *
*Functional Design document is properly mapped and traced to the
requirements*
*Experience in write and maintaining user documentations*
*Experience to provide help desk support.*
*Regards,*
*Roy Miller | IT Recruiter *
*ITBrainiac Inc,*
*Princeton Forrestal Village116 Village Blvd, Suite 200*
*Princeton, NJ 08540*
*Tel # 908-248- 6680*
*Email: roy.mil...@itbtalent.com <roy.mil...@itbtalent.com> *
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