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Business Analyst/Project Manager
Ref No.: 16-03295
Location: New York, New York
Job Title: HealthCare Project Manager/Business Analyst
Location: NYC
Duration: 6 + months

Job Requirements:
  • Project Manager/Business Analyst role
  • Bachelor's Degree in Information Technology, Business Administration or health care related field or the equivalent required. Advance Degree or Certificate in Information Systems preferred.
  • Minimum five years of experience in health care information systems in a payer/ health insurance environment required.
  • Experience with EDI HIPAA transactions is mandatory (834s, 837s, 270/271, 999, 277CA)
  • Experience working with Trizetto Facets claims processing system is desired
  • Strong knowledge of logical business processes in developing functional specifications based on operational analysis required.
  • Strong knowledge of Payer operations (Membership, Provider Ops, claims processing, care management)
  • Excellent oral and written communication skills, consulting and analytical skills and ability to work with clients, IT management, staff, consultants and vendors required.
  • Experience documenting systems for business and programmer audiences required.
  • Exposure as part of software development team, involved in all stages of software development life cycle required.
  • Project management experience is required.
  • All candidates must have a combination of excellent analytical skills and project management skill
  • Candidate should be a self-starter, who can work independently
  • Familiarity with current NY State and CMS Health care guidelines is preferred