Need BA with Health Care Experience

[sukumar.svp...@gmail.com]

Hi,

Role – Business Analyst

Location – Concord, NH

Duration – Long Term

Rate:$45/hr

Top Skills – Strong communication skills, Informatica ETL knowledge, Healthcare Medicaid background.



Job Description: Candidate will have the responsibility of Interacting with the State Business Users, external users and Client to gather business requirements and translate them in the form of business requirements for the application. Others include documenting requirements gaps and process artifacts including project objective, business requirements, functional system requirements, Non-functional system requirements, data requirements, constraints, assumptions and current state process analysis and future state process maps. At times, candidate will also need provide thought leadership to the client for their business and interact with industry teams.



Other Responsibilities:

· Analysing and providing solutions to various business and customer needs in Healthcare Domain.

· Develop business and system requirements subject areas and reports for the Medicaid System.

· Manage and analyse Medicaid modules and also to support reporting and analytical queries from business users.

· Conduct the Sessions with Dev team and QA team to provide/gather the complete understanding of the system.

· Review the test case scenarios for System Integration, Functional Integration.

· Participate in end user training of the system

· Participate in federal certification for health care system





Skills and Experience:

· 8+ years of experience as a Subject Matter Expert or Business Analyst in Medicaid healthcare.

· Knowledgeable in DW technology, ETL Informatica

· Understanding of both technical and business process MITA requirements

· 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