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Healthcare Insurance BA :: Atlanta, Georgia :: Onsite at Atlanta, Georgia, USA
Email: [email protected]
https://jobs.nvoids.com/job_details.jsp?id=2016454&uid=
From:

Santosh,

Vyzeinc

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Job Description -

The role is onsite with a virtual interview. Visa is fine. The location is in Georgia, and it's with a healthcare client. For the Business Analyst role, candidates should have 7 years of experience in healthcare, with a total of 10 years of experience in the profile.

Job Title: Healthcare Insurance BA (SME)

Duration: Minimum 6-12 months if on C2C. Have possibilities of converting FT.

2 rounds of Interview

Visa: No restriction for qualified candidates

Travel is required to client site. Exact location to be determined but is in Eastern Time zone. 

This role requires person to work in product implementation team and assist in implementing our product.

This person may need to travel to customer location and liaise with them to gather requirements and document then for the offshore delivery team.      

Job Description:
8+ years of Health SME (Subject Matter Expert) experience, Preferably in health care or health insurance industry
Health, Hospital/Wellness, Cancer, Critical Illness, MEC1-Skinny Limited Medical, MEC2-Limited Medical, MEC3-Limited Medical products expertise is a must in US region.
Proven experience with underwriting processes, policy admin systems, claims process, benefit configuration, Form generation, and integrations with down and upstream systems.
Proven experience in implementing Health portals following ANSI EDI standards.
Experience with Health insurance systems for carriers and MGAs
Exposure to Medicaid and Medicare systems
Knowledge and Experience in billing, Claims, HIPAA regulations, EDI files
Proficiency in requirements gathering, process modelling and documentation
Ability to collaborate with stakeholders at all levels internally and clients
Familiarity with industry specific tools for policy administration, claims management and underwriting
Experience in integration of core system with portals and apps.
Extensive experience in functional integration with associated third-party systems"The skill matrix you have attached needs to be filled out by the candidate and included in the submission email when submitting."

Skills

Experience (in years)

Ratings (0-5)

Healthcare/Health insurance

Subject Matter Expert (SME)

Healthcare Management

Policy management

Claims Management

Benefits Administration

U.S. HIPPA

MEC1-Skinny Limited Medical

MEC2-Limited Medical

MEC3-Limited Medical

Health insurance systems

Hospital/Wellness/Cancer/Critical illness

Underwriting

Medicare/Medicaid

Requirement Gathering

System Requirement

Functional Integration

ANSI EDI

Keywords: business analyst information technology
Healthcare Insurance BA :: Atlanta, Georgia :: Onsite
[email protected]
https://jobs.nvoids.com/job_details.jsp?id=2016454&uid=
[email protected]
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09:44 PM 16-Dec-24


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