Sign upLog in
Business Jobs

Business Analyst with Medicaid/ Medicare/ MMIS Expertise - 100% Remote

The Dignify Solutions, LLC

  • Atlanta, GA
  • 30+ days ago
  • Remote

    Highlights

    Should be able to run queries and perform basic system analysis, RCA etc., Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos. Technical Skills SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).

    Numbers & Facts

    LocationAtlanta, GA (
    Remote    )

    Description

    • Candidate should have strong health care domain experience and should have good  knowledge of Medicaid and Medicare.
    • Candidate should have hands-on experience on claims processing and Adjudication processes.
    • Must have good experience in Reference code/data sets required in Claims adjudication.
    • Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
    • Should be able to run queries and perform basic system analysis, RCA etc.,
    • Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
    • Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks
    • Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.
    • In depth understanding of Claims and Claims lifecycle
    Technical Skills
    • SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
    • EDI Tools: Validating X12 files.
    • Interface Testing: Understanding how data flows between systems and formats and use tools like postman

    Similar Job Searches

    Business Development Manager Jobs in Atlanta, GARelationship Manager Jobs in Atlanta, GAPartner Manager Jobs in Atlanta, GACompliance Manager Jobs in Atlanta, GAEngagement Manager Jobs in Atlanta, GAConsulting Manager Jobs in Atlanta, GAContracts Manager Jobs in Atlanta, GAContract Manager Jobs in Atlanta, GABusiness Analyst Jobs in Sandy Springs, GABusiness Analyst Jobs in Alpharetta, GA

    Similar Jobs

    See more jobs