Job Location: Maryland, United States
Role : Lead Business Analyst
Location : Local to Virginia, Maryland(Hybrid)
Visa : Only w2
Must have healthcare Experience.
Lead Business Analyst will be responsible for defining business intent, business requirements, functional requirements, non-functional requirements, data mapping, system/process impacts, and participate in issue assessment for FEPOC’s Claims and Audit processes and systems, starting in FEPOC’s Claims Electronic Data Interchange (EDI) functional area. Lead analyst will also provide feedback and guidance to more junior members of the team.
Position Requirements
8-11 Years Experience
• Strong demonstrated analytical skills applied to business software solutions maintenance and/or development.
• Knowledge of the software development standards and practices.
• Demonstrated ability to find efficiencies and improve processes.
• Proven ability to determine systemic process faults and improve overall process performance across organizations.
• Understanding of claims adjudication, particularly in a health care environment
• Understanding of health industry diagnosis, procedure and revenue codes and their application
• Strong business analytical skills.
• Strong process analysis skills
• Strong process documentation skills
• Excellent communication/writing skills,
• Excellent interpersonal skills
• Attentive to detail, highly -organized, and able to multi-task
• Ability to work independently and meet deadlines
Preferred:
• Hands-on experience with ANSI 837, 834, and other health care EDI mapping and analysis
• Experience with claims adjudication in the Federal Employee Program Health Benefit Plan
• Experience in a software application development environment in an analytical role
• Bachelors (Health administration; business administration; software engineering or related degree required)
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