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Business Analyst (US Healthcare / Medicaid) - Provider

Business Analyst (US Healthcare / Medicaid) - Provider

ConfidentialChennai
30+ days ago
Job description

Job description

Essential Job Functions

  • Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
  • Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
  • Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
  • Assists in developing and modifying systems requirements documentation to meet client needs.
  • Participates in meetings with clients to gather and document requirements and explore potential solutions.
  • Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
  • Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

What we're looking for

Basic Qualifications

  • 3+ years of experience in Business Analyst, Provider, Claims adjudication, Medicaid or Medicare, SQL.
  • 3+ years of business functional experience in one or more areas such as Eligibility, Claims, Provider.
  • Strong SQL knowledge. Ability to write complex queries.
  • Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit / gap analysis based on requirements.
  • Experience using Microsoft Office Tools, specifically Excel.
  • Ability to create detailed and thorough design documents and test plans / execution for medium to large initiatives.
  • Being able to research, analyze, validate and document business requirements.
  • Skills Required

    Sql, Business Analysis

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