Quick Overview
Seniority
Mid Senior
Work mode
Hybrid
Location
United States
Posted
22 hours ago
Job Description
Senior Business Analyst Claims
Remote
W2
- 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
Munesh
,
CYBER SPHERE LLC
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