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Business Analyst
Ref No.: 18-04913
Location: Garden City, New York
Position Type:Direct Placement
Start Date: 05/29/2018

Title: Sr. Business Analyst
Duration: Permanent
Location: Westbury, NY
Salary: DOE
Start Date: ASAP

Overview: The Senior Business Analyst must possess extensive health care knowledge and is well versed in all IT lifecycle of analytical and technical processes from requirements gathering through programming and implementation.
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
  • Excel
  • Understanding of Software Development Life Cycle
If interested and qualified please send your most up to date resume to gabriel.paulino@mondo.com