Marchon's healthcare client is hiring a Business Analyst to join our collaborative team. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the program specifically projects to support the member community. BA should be well versed in health plan management, operational concepts, and the systems development lifecycle. Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the program.
The BA must have sufficient knowledge of the entire scope of the health care business to ensure that the development and testing work within their functional area is compatible with the system. The BA's primary responsibility is to ensure that the implemented coding scheme meets the requirements of the business community and conforms to all applicable Federal and state laws. The BA will be called upon to act as an active member in all phases of the project including gap analysis, requirements gathering, design and development activities, documentation, testing, implementation, and stabilization. The BA will be expected to work independently, as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job.
Qualifications: - Applicants must be local with the ability to interview and work onsite
- 3+ Provider Reimbursement and Claims processing experience
- Experience in developing test strategies, test scenarios and test cases based on written requirements as well as execution of the tests
- Expertise in business analysis to support all stages of system project lifecycle
- Competency in HIPAA claims and payment transaction processing
- Strong data analysis and query skills. MUST have strong SQL background with the ability to create complex query independently
- Excellent communication and documentation skill
- Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies.
- Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.
- Highly analytical, with the ability to independently analyze, document findings and recommend solutions.