Some State client projects experience !!
Client: SC DHHS
Job Title: Healthcare Business Analyst – (Provider/Claims/MMIS)
Location: Columbia, SC
Duration: 1yr
This is a 1 Year Contract Position for a Business Analyst in Columbia, SC
Job Description:
The principal duties of this position are to develop and maintain business requirements with associated artifacts such as requirements plans, process flows, and other models as needed.
Daily work will concentrate on these work streams:
- Member
- Provider
- Claims
- Prior Authorization
- Finance
These work streams will support the following modules for RMMIS:
- Business Intelligence System
- Administrative Services Organization (ASO) for Fee for Service (FFS) claims
- Pharmacy Benefits Administrator (PBA)
- Dental Administrative Services Organization (DASO)
- Accounting and Finance
- Third Party Liability (TPL)
- System Integration and Operations (SIOPS)
- Technology Framework (Integration Hub, Portal and Enterprise Data Services)
- RMMIS Program Management
Required Skills:
- 8+ years' experience in government IT projects as a business analyst or related duties
- 6+ years' experience eliciting, mining, and documenting business rules
- General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)
- Firm understanding of health care payer business process
- Strong understanding of business modeling techniques
- Integrated healthcare delivery from member enrollment though to claims payment
- Business operations experience in member enrollment though to claims payment
- Commercial and Medicaid experience preferable
- Ability to effectively communicate to executive management, line management, project management, and team members.
- Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.
- Superb written and oral communications skills, including the ability to write requirements and Use Cases. Very Strong proficiency in English is required
- Bachelor's degree in a technical, business, or healthcare field.
Preferred Qualifications:
- MMIS experience (project or operations)
- Ability to write and understand business and functional requirements
- Strong knowledge of formal business rules methodologies
Ashutosh Tripathi
Ph- 609-608-0442 || Fax: 732-909-2282
Email: atripathi@sourceinfotech.com
Connect: www.linkedin.com/pub/ashutosh-tripathi/49/1a9/2b0
Hangout: ashutoshtripathi68 Yahoo# ashu_recruiter
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