Job Description :

Role: BA with Healthcare Expert
Location: Albany, NY
Duration: 30
Position #: 2323-RFD-30-40

Rate: Open

Please share your candidate profiles that match the following qualification.

Mandatory Requirements:
  • 84 MONTHS Experience in system/business analysis providing executive level and operational guidance to a diverse group of users, technicians, and managers within a health care entity that deals with large, claims-based data sets. Must include:
    • Analysis of system requirements
    • Meeting with business users
    • Designing system prototypes
    • Creating logical data models
    • Creating use cases
    • Documenting existing and proposed systems within the context of a business analyst development suite
    • Creating/optimizing advanced SQL queries against large relational data sets.
  • **The below experience is perferred but not required:
    • Experience using Blueprint for requirements and design gathering
    • Experience using Balsamiq for wireframe and screen design
    • Experience supporting IT initiatives for audit and investigative fraud, waste, and abuse efforts
    • Experience using a testing tool (ex: HP Quality Center)
    • Experience using Oracle OBIEE Software
    • Experience writing complex SQL against the MDW
    • Experience with HIPAA Confidential data and New York State/Federal regulations.
  • 84 MONTHS Experience with managing the development and implementation of Medicaid Audits/ Investigations case management systems, in a Microsoft. Net/Java platform and/or MS SQL/Oracle back-end environments.
  • 84 MONTHS Experience implementing, managing and troubleshooting electronic documents solutions, third-party APIs interfaces and OCR engines, and Xerox Docushare as the enterprise electronic document content repository.
  • 72 MONTHS Experience managing and supporting audit work-papers documentation systems, involving case replication, sampling, reporting, receipient claims, findings and profiling, with focus on Medicaid provider audits, utilizing Microsoft .Net/C# technology.
  • 24 MONTHS Experience documenting the design of applications which utilize ComponentOne, Aspose, and Mathematica softwares.
  • Education/Certification: Master's or higher degree

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