Healthcare Business analyst

Senior Healthcare Business Analyst

Pay Rate: $53/hr on w2 all inclusive Client: CareFirst Client FEPOC

Additional Notes to Vendor: Candidates must be on your W2 Looking for Convertible resources (Only US Citizens and Green Card holders) Initially remote due to COVID-19 pandemic Mode of Interview: Phone and Skype (Video) - 2 rounds

Job description: Hiring Manager notes:

• Need folks who know how to write requirements and User Stories (Gherkin). No ramp up time.
• Must be very well versed in agile & waterfall methodologies and JIRA.
• Need to come out of the Healthcare insurance industry because this group is implementing benefits.
• Benefits and claims processing background is KEY.
• Business processes are waterfall. Delivery method is agile.
• Must be able to conduct interviews, collaborate with stakeholders.
• Must be from healthcare, Medicare or Medicaid background and proficient in Claims processing/adjudication, HIPAA, EDI specifically 835, 837..

Skills required for this role:

• Strong demonstrated analytical skills applied to business software solutions maintenance and/or development.
• Knowledge of the software development standards and practices.
• Demonstrated ability to find efficiencies and improve processes.
• Proven ability to determine systemic process faults and improve overall process performance across organizations.
• Understanding of claims adjudication, particularly in a health care environment
• Understanding of health industry diagnosis, procedure and revenue codes and their application
• Strong business analytical skills.
• Strong process analysis skills
• Strong process documentation skills
• Excellent communication/writing skills
• Excellent interpersonal skills
• Attentive to detail, highly -organized, and able to multi-task
• Ability to work independently and meet deadlines
• Preferred: Experience with claims adjudication in the Federal Employee Program Health Benefit Plan
• Experience in a software application development environment in an analytical role
• Bachelors (Health administration; business administration; software engineering or related degree required)