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Business Analyst - Healthcare

4.00 to 9.00 Years   Noida, Chennai, Hyderabad, Kolkata   20 Jul, 2022
HR Consultancy
Job LocationNoida, Chennai, Hyderabad, Kolkata
EducationNot Mentioned
SalaryNot Disclosed
IndustryRecruitment Services
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

    Business Analyst and Senior Business Analyst - US HealthcareLocation : Bangalore, Pune, Chennai, Hyderabad, Noida, KolkataExperience : 4 - 10 yearsMUST HAVES :Top 3 Mandatory Skills :- Business Analysis, Payer, Claims (US Healthcare experience mandatory), SQL, Agile., EMR- Relevant Experience must be 50% and above of total experience in all the above skill sets.Location : Chennai HyderabadPrimary skills : Payers, Claims, US HealthcareSkills required :- Deep experience in the US Healthcare space comprising Payers Medicare Commercial plans Pharmacy Benefit management organization s etc- Core experience in Claims processing adjudication enrolment membership and billing- Perform activities which is part of bigger solution using ICD9 ICD10 CPT HCPCS classification system- Translate business requirements develop business cases use cases and recommend solutions- Be client-focused Drive best practices through business processes knowledge- Extensive experience working with software development teams working with business and customer stakeholders in understanding and documenting requirements and providing day to day support to dev teams- Perform research to identify business problems and ability to breakdown complex business issues to come up with solutions through extensive data analysis- Experience working in Agile projects is preferredCandidate Profile :- Demonstrated work experience in healthcare life sciences data analytics programs for minimum of 5 years- Experience on Medical coding related to ICD9 IC D10 CPT HCPCS classification system- Possess significant experience in clinical and or healthcare claims data healthcare reforms programs and claims medical Rx data coming from Payers CMS Health plans PBMs- Prior experience in population health quality measures evidence based alerts various incentive programs including ACO Meaningful Use PQRS PCMH CPCI and PPIC Prior- 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 analytical tool.,

Keyskills :
business requirementslife sciencesfunctionalstrong analytical skillsrequirementsdocumentation

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