~20d ago

Healthcare Technical Business Analyst

OtherTechnical Business Analyst

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Quick Summary

Key Responsibilities

Knowledge and experience of Healthcare Payor industry & understanding of latest trends & innovation Reviews, analyzes, and evaluates business processes and associated IT application requirements.

Technical Tools

OtherTechnical Business Analyst

Requirements

~1 min read

Responsibilities

~1 min read

→Knowledge and experience of Healthcare Payor industry & understanding of latest trends & innovation
→Reviews, analyzes, and evaluates business processes and associated IT application requirements.
→Knowledge and experience in any one or more of the following core areas
- →Claims Enrollment & Billing platforms
- →Medicare & Medicaid state level reporting levels
- →Knowledge/Experience of HEDIS/Star Rating
- →Medical Record Retrieval/Provider Engagement Coordination
- →Risk Adjustment & Business Intelligence
- →Strong understanding of healthcare data formats, standards, and can map them to CMS and state level reporting needs.
→Develops and executes test strategies, plans, scenarios, and tracks resolution to identified defects.
→Defines and documents business and IT system processes. Models AS-IS and TO-BE processes.
→Conducts and facilitates JAD sessions to develop and coordinate the requirements, specifications, design, and testing efforts for medium to large projects.
→Analyzes business workflow and system needs for conversions and migrations; assists in data mapping.
→Conducts gap analysis and uses analytical skills to identify root cause and assist with problem management.
→Defines and develops test plan documentation to support system validation and/or User Acceptance Testing.
→Prepares high level user documentation and training materials.