I have a very urgent DIRECT CLIENT requirement for *Business Analyst
w/ICD-10/HIPAA* in *Raleigh, NC*. Please Let Me Know If you have available
candidate, please reply with their word resume, location, rate and contact
number.

Please send the resumes at pe...@cncconsulting.com

Job Title: Business Analyst w/ICD-10/HIPAA
Location: Raleigh, NC
Duration: 12 Months

*Note: MMIS experience is a plus*

The NC DHHS is seeking a Sr. Business Systems Analyst contractor to support
the NC Tracks application and ICD-10 projects. The candidate for this
position will be a key support person for the ICD-10 post-implementation.
The ideal candidate will be responsible for planning, designing, examining,
analyzing, developing, implementing, administering, and monitoring the
business and program processes.  In this position, the candidate will
evaluate the functionality of the business and program application systems
to identify gaps and measure the solution impact to business operations.
This position serves as a liaison between the business and the project team
to improve productivity, and to develop and deliver training.  This
position ensures continual operation and periodic/ad hoc upgrades or
enhancements of the applications, to meet the business needs of the
supported State agencies.  This candidate will need to analyze operational
data due to ICD-10 and other CSR changes and recommend changes to policies
and procedures, troubleshoot business and/or system problems and recommend
solutions, understand software modifications/enhancements, assess their
impact on business processes, develop unit and system test plans, and
develop process flows, training materials.
The position is also responsible for developing test scenarios/cases in
consultation with the business group, performing hands-on testing, test
results review and proactively identify issues, and provide possible
resolutions/recommendations in NC Tracks.  The person in this role must be
capable of analyzing impact on provider reimbursement due to ICD-10 coding
change and provide recommendations.  The candidate should be team player
who will interact with various stakeholders and team members to discuss
alternative solutions by actively contributing suggestions and sharing
information, as well as, ad hoc participation in various work
groups/discussions will be required. The position should be able to run
queries/reports using SQL and SAS EG. Ability to code, expert in reading
and analyzing/trouble shooting EDI transactions 837I/P/D, 276/277, 278,
NCPDP D.0 and NC PDP post-adjudication transactions and ICD-10 related
issues.

Hands-on experience in SILK testing tool and/or other industry standard
tools such as QTP, TestDirector. Required 5 Years
Hands-on experience in HIPAA EDI X12 transactions such as 837 (P, D, I),
270/271, 276/277, 278 & NCPDP Required 5 Years
Hands-on experience with health care transactions and code sets such as
HIPAA, NCPDP, ICD-9/ICD-10 , various claim types etc Required 5 Years
Hands-on experience in SAS tools, SQL Required 5 Years
Prior expereince in NC MMIS, multi-payer system (NCTracks) or State govt
Highly desired
Experience in test scenarios, test cases development. Required 5Years
Strong interpersonal and client relationship skills Required
Ability to communicate effectively with both business and technical staff
to convey complex ideas both verbally and in written form Required
Ability to translate business requirements into high-level and detailed
functional specifications Required
Healthcare-related experience Highly desired
MMIS system implementation experience Highly desired

Thanks

Peter Smith
Direct: 224-764-8535
Email ID: pe...@cncconsulting.com

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