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Business Analyst - Claims

Talent Groups

Hybrid in Quincy, Massachusetts • Today

Easy Apply

Contract

54 - 64

Senior SAS Business Analyst with Medicaid/Claims experience (Remote)

Cleo Consulting Inc.

Remote • 21d ago

Easy Apply

Contract, Third Party

$55 - $60

Business Analyst

Techgene Solutions LLC

Quincy, Massachusetts • Today

Easy Apply

Full-time, Contract

$DOE

Business Analyst

Nityo Infotech Corporation

Remote • Yesterday

Easy Apply

Contract

Depends on Experience

Data Systems Analyst (Medical Claims or Pharmacy claims)

KE Staffing

Remote • 13d ago

Easy Apply

Contract

$50+

Business Analyst

Valiant Tek Group, Inc

Remote • Today

Easy Apply

Contract

Depends on Experience

California Workers Compensation Claims Examiner

Apidel Technologies

Remote • 20d ago

Easy Apply

Contract

50 - 55

HB/PB Claims Analyst

Randstad Digital

Remote or Minneapolis, Minnesota • Today

Contract

USD21 - USD31

Senior Healthcare Business Analyst

Infinite Solutions Inc.

Remote • 7d ago

Easy Apply

Third Party, Contract

Depends on Experience

Business Analyst Revenue Cycle-5131

Randstad Digital

Remote or St. Louis, Missouri • Today

Contract

USD40 - USD30

Healthcare Claims Processor (Fully Insured)

Elite Technical

Remote • 6d ago

Easy Apply

Contract

Transactional Liability Claims Counsel

SANS

Remote • Yesterday

Easy Apply

Full-time

Depends on Experience

Business Analyst III– Data Intelligence

iSpace, Inc

Remote • Today

Easy Apply

Contract

Lead : Python Backend Developer (Healthcare / Claims)

Bramkas Inc.

Remote • 13d ago

Easy Apply

Full-time

Depends on Experience

Lead : Python Backend Developer (Healthcare / Claims)

Bramkas Inc.

Remote • 14d ago

Easy Apply

Full-time

Depends on Experience

Product Owner, Claims Editing (RTM)

Vaco by Highspring

Remote • 7d ago

Easy Apply

Full-time

Depends on Experience

Sr Claims Systems Analyst - AI-Enabled

Curative

Remote or Austin, Texas • Today

Full-time

USD 110,000.00 - 165,000.00 per year

Insurance Data Analyst - Boston, MA (Insurance Experience Required)

Motion Recruitment Partners, LLC

Boston, Massachusetts • Today

Easy Apply

Full-time

USD 90,000.00 - 105,000.00 per year

Analyst 1, Professional Billing Epic

Community Care Cooperative (C3)

Hybrid in Boston, Massachusetts • 19d ago

Easy Apply

Full-time

91,042 - 109,250

Business Analyst

Peterson Technology Partners

Remote • Today

Third Party, Contract

40 - 48

Guidewire Business Analyst

Futuremindz llc

Remote or Hybrid in San Antonio, Texas • 26d ago

Easy Apply

Full-time, Third Party

Depends on Experience

Business Analyst (Interoperability)

Unique System Skills LLC

Remote • 4d ago

Easy Apply

Contract, Third Party

Depends on Experience

P&C Insurance Business Analyst & Domain Expert

ARK Infotech Spectrum

Remote • Today

Easy Apply

Contract

Depends on Experience

Business Systems Analyst (ITS / Data Mapping / Healthcare Payer)

Javen Technologies, Inc

Remote • 12d ago

Easy Apply

Contract

Depends on Experience

Business Analyst- HEDX - VHA

HigherEchelon

Remote • Today

Full-time

Sr Business Analyst - Healthcare

Eliassen Group

Remote • Today

Contract

Salesforce Business Analyst

CitiusTech

Remote • 4d ago

Easy Apply

Third Party, Contract

Depends on Experience

Epic Lead Professional Billing/Claims Analyst

ARSquare Tech LLC

Remote • 20d ago

Easy Apply

Full-time

60 - 65

Healthcare Claims Processor (Fully Insured)-Fully Remote

Elite Technical

Remote • 14d ago

Easy Apply

Contract

Attorney - Transactional Liability Claims Professional

SANS

Remote • 2d ago

Easy Apply

Contract

100 - 300

Job Details

Skills

Business Analyst
Claims
Healthcare IT
Data analysis

Summary

Hybrid Details: One day per month onsite, last Wednesday of the month
Duration: 6 months to start

Project Summary:

The client is seeking to hire a Business Analyst- Claims expertise to join our collaborative Medicaid Management Information System (MMIS) team.
The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. BA should be well versed in health plan management, operational concepts, and the systems development lifecycle.
Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program.
The BA must have sufficient knowledge of the entire scope of the health care business systems and excellent knowledge in the Claims Processing area to ensure that the development and testing work within their functional area is compatible with the MMIS system.
The BA’s primary responsibility is to ensure that the implemented coding scheme meets the requirements of the business community and conforms to all applicable Federal and state laws. The BA will be called upon to act as an active member in all phases of the project including gap analysis, requirements gathering, design and development activities, documentation, testing, implementation, and stabilization.
The BA will be expected to work independently, as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job. Knowledge of Pharmacy Claims processing, Interoperability and/or X.12 emerging standards is beneficial.

Responsibilities:

Lead and participate in joint application design session with stakeholders
Knowledge of SDLC and Agile methodology a plus
Develop test strategies, test scenarios and test cases based on written requirements
Execute and review test runs and sign off on testing components
Document requirements and participate in their development and testing
Support the development of end-user training materials and end-user documentation as required.
Possible oversight role during the stabilization phase of each release including the monitoring of system change execution, the development of system “fix” strategies and the close monitoring of the implementation of those strategies
Work with vendors to ensure business requirements are fully defined and tested.
Communicate updates and changes to impacted stakeholders
Represent MMIS in business meetings as needed
Support program staff, vendors, and other stakeholder with MMIS related questions or concerns.
Provide back up to other business analysts as needed.
Data query and analysis.

Preferred Qualifications:

Proficient in business analysis to support all stages of system project lifecycle
Competency in HIPAA claims and payment transaction processing
Strong data analysis skills- SQL proficient
Excellent communication and documentation skill
Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies.
Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.
Highly analytical, with the ability to independently analyze, document findings and recommend solutions.

Education and Certifications:

Bachelor’s degree or higher in Business, IT or Healthcare administration with minimum 3 years’ experience, or equivalent in healthcare administration setting

Talent Groups is an equal opportunity employer that values diversity and inclusion. All qualified applicants will receive consideration without regard to protected characteristics. The listed compensation range represents a good-faith estimate and may vary based on experience, skills, education, certifications, market conditions, client budget, and location, in accordance with applicable pay transparency laws.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91099677
Position Id: 9132908
Posted 8 hours ago

Fitment

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Contact the job poster

Tiffany Louie

Recruiter @ Talent Groups

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Job Details

Skills

Business Analyst
Claims
Healthcare IT
Data analysis

Summary

Hybrid Details: One day per month onsite, last Wednesday of the month
Duration: 6 months to start

Project Summary:

The client is seeking to hire a Business Analyst- Claims expertise to join our collaborative Medicaid Management Information System (MMIS) team.
The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. BA should be well versed in health plan management, operational concepts, and the systems development lifecycle.
Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program.
The BA must have sufficient knowledge of the entire scope of the health care business systems and excellent knowledge in the Claims Processing area to ensure that the development and testing work within their functional area is compatible with the MMIS system.
The BA’s primary responsibility is to ensure that the implemented coding scheme meets the requirements of the business community and conforms to all applicable Federal and state laws. The BA will be called upon to act as an active member in all phases of the project including gap analysis, requirements gathering, design and development activities, documentation, testing, implementation, and stabilization.
The BA will be expected to work independently, as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job. Knowledge of Pharmacy Claims processing, Interoperability and/or X.12 emerging standards is beneficial.

Responsibilities:

Lead and participate in joint application design session with stakeholders
Knowledge of SDLC and Agile methodology a plus
Develop test strategies, test scenarios and test cases based on written requirements
Execute and review test runs and sign off on testing components
Document requirements and participate in their development and testing
Support the development of end-user training materials and end-user documentation as required.
Possible oversight role during the stabilization phase of each release including the monitoring of system change execution, the development of system “fix” strategies and the close monitoring of the implementation of those strategies
Work with vendors to ensure business requirements are fully defined and tested.
Communicate updates and changes to impacted stakeholders
Represent MMIS in business meetings as needed
Support program staff, vendors, and other stakeholder with MMIS related questions or concerns.
Provide back up to other business analysts as needed.
Data query and analysis.

Preferred Qualifications:

Proficient in business analysis to support all stages of system project lifecycle
Competency in HIPAA claims and payment transaction processing
Strong data analysis skills- SQL proficient
Excellent communication and documentation skill
Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies.
Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.
Highly analytical, with the ability to independently analyze, document findings and recommend solutions.

Education and Certifications:

Bachelor’s degree or higher in Business, IT or Healthcare administration with minimum 3 years’ experience, or equivalent in healthcare administration setting

Dice Id: 91099677
Position Id: 9132908
Posted 8 hours ago

Fitment