Remote Technical Business Analyst - Claims Module 2

JOB TITLE: Remote Technical Business Analyst - Claims Module
JOB LOCATION: Remote
WAGE RANGE*: $60 hr to $62.50 hr
JOB NUMBER: 26-00820

REQUIRED EXPERIENCE:

12+ years of overall experience
Need to have hands-on experience on claims processing and Adjudication processes.
Need strong 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.

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:

• Member
• Provider
• Claim submission – Paper and EDI X12
• Adjudication
• Payment Cycle (Finance)
• Reporting

Claim Types:

• Professional
• Dental
• Institutional
• Pharmacy
• Encounters and Capitation

Claim Formats:

• EDI X12 formats like 837P/I/D
• X12 formats 835, 834, 270/271, 276/277

Claim System:

• Familiarity with systems like CMdS, GHS, Facets and etc

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

Preferred skills:

• Minimum of 8+ years of experience in health care experience especially in MMIS domain.
• Capability to think out-of-the-box to create new solutions as needed.
• Ability to validate Test scenarios and test plans, test data.
• Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
• Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
• Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
• Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.
• Communication: Collaborate with cross-functional teams 

JOB DESCRIPTION

Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.


Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.