Job Description :
Title: Senior BA with EDI, MMIS - W2 Only
Location: Columbia, SC, United States
Length: Long term


* W2 only - no c2c *

Interview : Skype/Phone.

Specific duties include, but are not limited to:

Ensures the UA testing team completes assignments as expected. Carries out procedures to ensure that all results meet R-MMIS documentation requirements.
Provides technical assistance as needed in the UA environment.
Provides quality assurance and analytical support and coordination in testing efforts.
Provides independent system maintenance support by identifying, validating, analyzing and defining problems/issues. Assists in verification of business process documentation highlighting areas which require updating and working with appropriate staff to provide results in a timely manner.
Consults with UA testers insuring their understanding of policies/procedures and system functionality design.
Assist other business analyst with:
- Projects involving enhancement of MMIS.
- Computer program design, coding, testing, debugging, and modifications as required to maintain assigned systems and generate reports and/or data as needed.
Other duties as assigned.


10 years’ experience in healthcare insurance; medical review, program integrity, or appeals.
5 years’ experience working with IT developers/programmers in payer environment.
Knowledge of ICD/CPT/HCPCS coding.
Ability to effectively communicate to executive management, line management, project management, and team members.
EDI Transaction sets (270/271, 276/277, 837)
Bachelor’s Degree
MS Office

Desired Skills :

Claims processing systems experience.