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Senior Business Analyst
Ref No.: 18-00136
Location: Westbury, New York
Position Type:Direct Placement
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.

Primary 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 code, 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