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Healthcare Consultant - Business Analyst with Min 10yrs exp (Webcam Interview) (HYBRID_only Local to South carolina)

NextGen Solutions CorporationColumbia, SC🇺🇸United StatesPosted 22 Jul 2026

Why This Role Stands Out

This hybrid role offers significant career growth in the esteemed healthcare IT sector, allowing you to leverage your extensive business analysis experience to drive impactful projects. You'll thrive here if you're a seasoned professional based in South Carolina looking for a dynamic, long-term opportunity with a direct client. Apply now to join a forward-thinking team and contribute to innovative healthcare solutions.

Quick Overview

Work Type
On Site
Level
Mid Senior

Job Description

Please note that this position is with our direct client
"We are looking for Healthcare Consultant - Business Analyst - Consultant (Min 10+yrs Exp) HYBRID (Web Cam Interview)
POSITION DESCRIPTION
DIRECT CLIENT Position
Number of positions: 1
Length: 12Months +
Work Address:Columbia 29201
Immediate Interviews Web Cam Interview
looking for an IT Healthcare Consultant - Business Analyst Consultant
Work Location: Hybrid (80% remote, onsite for required training and meetings).
Candidate Location: Candidate MUST be a SC resident. No relocation allowed.
Required/Desired Skills
Candidates must have ALL the "Required" skills in order to be considered for the position. "Desired" or "Highly Desired" skills are a PLUS but may NOT be required.
Skill Matrix
Experience with Business workflow processes
Required / Desired
Amount of Experience
Years of Expe Years rience
Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
Required
Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Required
Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment.
Required
10+ years in healthcare insurance; medical review, program integrity, or appeals.
Required
10
Years
5+ years working with IT developers/programmers in a payor environment.
Required
5
Years
5+ years Medical Coding in payer environment.
Required
5
Years
3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
Required
3
Years
5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
Required
5
Years
5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.
Required
5
Years
5+ years' experience in policy remediation.
Preferred
5
Years
5+ years claims processing systems experience.
Preferred
5
Years
5+ years knowledge of Microsoft Office
Preferred
5
Years
5+ years Optum Encoder and/or other medical coding software programs
Preferred
5
Years

Skills

Microsoft Office

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