Hello Business Partners,
-- Please send resumes to ravip@adventglobal.com
JOB DETAILS:
Job Title: Business Analyst (Health Care Exp Must)
Location: Columbia, SC
Duration: 12+ Months Contract
Please share the profiles with contact details.
BUSINESS ANALYST
REQUIRED SKILLS:
• Thorough knowledge/understanding of the Medicaid Information Technology Architecture (version 3.0)
• Thorough knowledge/understanding of the Medicaid Enterprise Certification Toolkit (MECT) checklist
• Thorough understanding of what is a Code of Federal Regulation (CFR), State Medicaid Manual, and a State Plan
• General understanding of Health Insurance Portability and Accountability Act (HIPAA) rules for privacy and all EDI related transactions
• General understanding of the Affordable Care Act
• Excellent research and communication skills
• Strong background and at least six years experience in healthcare insurance business operations (payer or provider side; government or commercial side). Experience in multiple business areas is a plus. Note: IT operations are not the same as business operations.
• At least three years experience in healthcare insurance IT software/systems implementations performing duties described in the "Daily Duties/Responsibilities" section above.
• Ability to properly document business requirements.
• Ability to interpret business process and business data models.
• Ability to correlate validation with processes and data flow and understand relationships
• Ability to examine validation outputs against expected results
• Vendor management experience.
• Superb written and oral communications skills, including the ability to give presentations to executive management. Strong proficiency in English is required.
• Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.
• Willingness and ability to effectively engage with people and organizations on a continuous basis.
REQUIRED EDUCATION:
Bachelor's degree or equivalent work experience.
Thanks & Regards,
Ravi
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