Senior Business Analyst, Claims Module

Business AnalystBusiness AnalystFull TimeRemoteSeniorTeam 10,001+Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

$85.5K - $111K / year

Seniority

Senior

8 yrs expEnglishSQL

Job Description

Senior Business Analyst, Claims Module

Conduent

• Play the role of Claims Domain lead for MMIS health care projects • Drive the claims module and process • Perform analysis of business requirements • Design and develop documentation and ensure quality process • Work in a team environment and provide guidance throughout the life cycle • Meet customer expectations and troubleshoot problems in the application • Assist customers in implementation decisions

Job Requirements

  • Strong health care domain experience
  • Good knowledge of Medicaid and Medicare
  • Hands-on experience on claims processing and Adjudication processes
  • Experience in Reference code/data sets required in Claims adjudication
  • Understanding in configuring benefits or programs in claims system across various sub-systems
  • Ability to run queries and perform basic system analysis
  • Excellent written and spoken communication skills
  • Ability to multitask between internal team and clients
  • Close work with Dev, architecture and Design teams
  • In depth understanding of Claims and Claims lifecycle
  • Familiarity with systems like CMdS, GHS, Facets
  • SQL skills to validate data in backend tables
  • Validating X12 files and understanding data workflows

Benefits

  • Health insurance coverage
  • Voluntary dental and vision programs
  • Life and disability insurance
  • Retirement savings plan
  • Paid holidays
  • Paid time off (PTO) or vacation and/or sick time

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