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Job Location | Kolkata |
Education | Not Mentioned |
Salary | Not Disclosed |
Industry | IT - Software |
Functional Area | Statistics / Analytics |
EmploymentType | Full-time |
Dear Candidate,Greetings of the day!We are Hiring for,BUSINESS ANALYST - HEALTHCARERole : Senior Business Analyst / Business Analyst Lead Experience : 8- 10 Years Location : ChennaiPrimary skills : Payers, Pharmacy benefit Management Skills required Work on Healthcare Spacecomprising Payers (Medicare Commercial plans), Pharmacy Benefit management, Healthcare ProviderACO organizations etc. Perform activities which is part of bigger solution using ICD9, ICD10, CPT,HCPCS classification system Provide insights to the core analytical team on the medical markers andwork with them on the advanced analytical project Perform analytical activities using Microsoft Excel,SQL, and BASIC SAS and can use or pick up any analytical tool that is organization specific. To createanalytical products on claims data coming from Payers (medical && Rx), CMS, Blue Health plans, PBMsetc. and understand how they are aligned to each other && there significance also to create insights andperform analysis like comparative rate between healthcare products, reimbursement && cost analysis,financial impact calculations, and national or regional market analysis related to healthcare productsand similar analysis on this area of work Translate business requirements, develop business cases, andrecommend solutions. Be client focused, Drive best practices through business processes knowledge Perform research to identify business problems and ability to breakdown complex business issues tocome up with solutions through extensive data analysis Experience working in Agile projects ispreferred. . Candidate Profile Demonstrated work experience in healthcare life sciences data analyticsprograms for minimum of 5 years. Experience on Medical coding related to ICD9, ICD10, CPT, HCPCSclassification system Possess significant experience in clinical and or healthcare claims data, healthcarereforms programs and claims (medical && Rx) data coming from Payers, CMS, Health plans, PBMs Priorexperience in population health, quality measures, evidence based alerts, various incentive programsincluding ACO, Meaningful Use, PQRS,PCMH, CPCI and PPIC Prior experience in analyzing healthcareclaims data, developing comparative rate and reimbursement analysis, cost analysis and financial impactcalculations, and national or regional market studies. Strong analytical skills with the ability to collect,organize, analyze data using Microsoft Excel, SQL, and BASIC SAS and can use or pick up any analyticaltool which is organization specific. Working knowledge of health care analytics in a Payers, PharmacyBenefit management, and Healthcare Provider ACO organization.Job Requirements:, SQL, Business User Analysis, Requirements Analysis, Agile, ETL Validation, BusinessRequirment DocumentRegards,HR Team
Keyskills :
pharmacy benefit managementsqlpayerbusiness intelligencemedical codingagilebusiness user analysisetl validation