Job Description :
Hi,
Greetings from Saxon Global !!
We have urgent requirement for Business Analyst (Healthcare) in Columbus OH
Please find the below job details for your reference and reply me with your updated resume if you are interested.

Job Details:
Job Title: Business Analyst (Healthcare)
Location: Columbus OH
Duration: 6+ months
Mode of Interview: Phone and Skype

Job description:

In this role you will design, build, and validate the Medicaid Information Technology System (MITS) across functional areas. You will support complex system configuration changes and new configuration requirements, including configuration analysis, design, build and testing.
Duties include troubleshooting and fixing system configuration errors, performing investigations and root cause analysis of trouble tickets, and ensuring day to day issues are identified and appropriately addressed.
Configuration Design
Analyzes provider contracts / pricing, designs / configures provider agreements, configuration validation, configuration peer review
Communicate design to all stakeholders and varying levels of the organization
Present and evaluate design solutions objectively and facilitate conflict resolution
Define, use and communicate design patterns and best practices in service oriented analysis, design and development
Configuration Build & Maintenance
Configuration of new and revised claims adjudication logic within a healthcare claims system
Configuration of products / benefits, providers agreements, fee schedules, and claims payment rules
Configuration of Claim Adjustment Reason Codes and Remittance Advice Code
Provider (Contract and Pricing) Configuration
Configuration Quality Assurance
Quality assurance and testing within health plan configuration system (e.g. Facets)to ensure configuration is ready for implementation
Collaborate with quality assurance team to ensure testing efforts align with system deliveries and business processes
Develop strategies to improve service development life cycle and governance processes
Develop and use enterprise service and data models Quality assurance and testing
Provider Pricing Analysis knowledge Requirements
To be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications:

4+ years configuration experience working in claims configuration
4+ years of experience identifying patterns within quantitative data, drawing conclusions and recommending solutions and approaches, skilled with end to end issue resolution
4+ years of experience in health care with emphasis in coding, financial rate set up or claims processing in a managed care environment.
Must be knowledgeable of medical claims data, formats and restrictions including but not limited to Revenue Codes, Place of Service codes, ICD-10 codes, CPT Codes, and Modifiers.
Experience in Medicaid or Medicare environments.
Intermediate or greater level of proficiency with Microsoft Excel and Word
Excellent oral and written communication skills, interpersonal skills and organizational abilities are essential
Ability to work effectively with minor supervision
Ability to manage multiple assignments while maintaining quality standards and meeting assigned deadlines

Preferred Qualifications:
Bachelor’s Degree in Business Administration or related area preferred
             

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