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Senior Business Analyst
Ref No.: 18-04910
Location: Westbury, NY, New York
Position Type:Direct Placement
Start Date: 05/29/2018
Job Title: Senior Business Analyst
Start: Mid June
Length: Full Time 
Salary: DOE
 Job Responsibilities:
  • Implement hospital, ancillary, provider contracts and client benefit contract coding into claim management system.
  • Perform all tasks of a business analyst at a consistently high level.
  • Perform quality assurance
  • Work with claim system vendor to implement new features and fixes
  • Independently manage multiple projects to satisfactory completion
  • Communicate with IT management on the progress of the various initiatives
  • Mentor/assist junior team members
  • Work closely with business users to identify business needs and document it.
 Essential Qualifications:
  • Thorough knowledge of healthcare concepts which may include:
    • Industry terminology/concepts including: ICD9, CPT, DRG, Revenue codes
    • Benefits configuration using Boolean logic
    • Accumulators
    • Health care provider reimbursements configuration including hospital and ancillary providers
    • Understanding of pricing and claim adjudication
    • COB pricing including Medicare rules
    • EDI knowledge
  • Communicate effectively with internal and external stakeholders
  • Must possess the ability to manage multiple projects with minimal supervision
  • Strong attention to detail and perform consistent work product validation/QA
  • Strong analytical skills
Technical Skills Desired:
  • Excel
  • Understanding of Software Development Life Cycle