Business System Analysis, data mapping, BRD, FRD, FSD, SQL scripting, Oracle, Java
Contract Corp-To-Corp, 6 mo+
Work from home not available Travel not required

Job Description

Looking for a SENIOR Healthcare Claims (EDI) Business Systems Analyst

Location – EITHER Washington, DC or Owings Mills, MD

6 month project

2 step Interview process

  1. Initial phone screen with Hiring Manager
  2. In-Person interview with the team (Hiring Mgr will NOT substitute In-person interview with Skype)

Job Requirement:

  • Experience in analysis and requirement-gathering efforts for Agile application development projects
  • Experience in Requirements Elicitation: BRD, FRD, FSD, Use Cases, User Stories and tracking development processes through development of Requirement Traceability Matrix. 
  • Understanding of healthcare claims including ICD10, HIPAA EDI 5010 X12 mapping formats (837 & 835) as well as other industry standard and custom formats using ETL tools
  • In depth understanding of medical claims lifecycle:  from Pre-adjudication, ERA (Electronic Remittance Advice), EOB (Explanation of Benefits), Batching x12 claims, splitting claims or line items, writing data mapping guides, strong understanding of where defects are caused by authorization issues in claims processing from clearinghouses / doctors / physicians, Post-Adjudication.
  • Ability to work on multiple releases at one time. Able to manage your time, multitask as you work on a multitude of things and on multiple projects at the same time with stringent deadlines.
  • Create Use Case Models, Data Flow Diagrams (DFD), Activity Diagrams and State machine chart diagrams.
  • Experience with Business Process Modeling
  • At least 2 – 3 years of experience with Java, messaging, Oracle and strong SQL scripting.
  • Tools:  HP ALM, Quality Center




Posted By

Helen Lewis

Washington, DC, 20016

Dice Id : 10114107
Position Id : HealthBSA
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