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Healthcare Insurance IT Business Systems
Ref No.: 20-01915
Location: newark, New Jersey
Position Type:Contract
Healthcare Insurance IT Business Systems Analyst Resource will have direct interaction with Senior IT Leadership Operational Business Owners third party development vendors and internal IT development departments
Strong with NASCO experience
The Resource must have exceptional communication skills
He She must be able to effectively convey verbal and written information in a clear and concise manner
Resource must be self motivated with a high regard for accountability of their work and able to motivate stakeholders to drive outcomes
Will require a proven ability to organize lead and execute necessary decisions while operating under pressure in complex situations
The individual must be a resourceful team player and excel at building trusted relationships with stakeholders Dependable responsible contributor committed to excellence and success
Extensive knowledge and business acumen of the health insurance industry.
Optimal resource will have experience in Healthcare Lines ofBusiness Products&Claims ProcessingClaims Pricing EDI&Mandates experience
Primary deliverables and activities for this position includeBusiness Requirements Documents TechnicalRequirements Documents Requirements Traceability Matrix Gatheringandpreparing solution based estimates Use Cases Test Plans Test Cases Activity Diagrams Process Flows High Level Solution Diagrams short of architecture Gap Analysis Defect Root Cause Analysis Conducting JAD sessions
UML Data Mapping Documents
Required experience 5 7 years of experience as a lead business system analyst is required 4 years of experience in the health insurance industry is required Should be experience inClaims ProcessingandClaims Pricing
Should be experience in Healthcare Products and Benefits
Should be extremely proficient EDI 834 Claim Enrollment Transactions
Should have experience working in large scale application migration implementation projects
Knowledge of federal exchange Portal knowledge preferred