Overview
Skills
Job Details
Job Role: Senior Healthcare BA FHIR
Job Type: Full Time
Job Location:Hartford, CT, Raleigh, NC, Indianapolis, IN, Richardson, TX and Tempe, AZ
Job Description: Client is seeking Healthcare BA with FHIR experience. As Healthcare BA claims you need to work with healthcare manages and optimizes systems for electronic data exchange, ensuring compliance with standards like HIPAA and facilitating efficient, secure transmission of healthcare transactions such as 837 (claims), 834 (enrollment), and real-time 27X series transactions (eligibility, claim status, and authorization). Their responsibilities include gathering healthcare specific business requirements, analyzing workflows, creating mappings including STTM (Source-to-Target Mapping) testing systems, and supporting end-to-end data transmission.
Required Qualifications:
Bachelor s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
Candidates need to be in and around or willing to relocate to any of the locations Hartford, CT, Raleigh, NC, Indianapolis, IN, Richardson, TX and Tempe, AZ.
At least 7 years of Information Technology experience.
. Expertise in FHIR
Experience with healthcare payer, preferably on Claims, Benefits, and Care Management.
Business Requirement Gathering: Collaborate with stakeholders to identify and document EDI needs specific to healthcare processes.
System Design & Implementation: Design and implement solutions tailored to healthcare transactions like 837, 834, and 27X series.
Data Mapping & Translation: Develop mappings, such as STTM documents, to support accurate data transformation and seamless integration across systems.