*Dear Associates,*

* *

*My name is ROGER SMITH from ITTECHNICS.INC*

* *

*We have Excellent Consultant for your Sr **BUSINESS ANALYSIS f**or your
DIRECT Client Requirements*

* *

* Please send me your Requirement to ro...@ittechnics.com  or  call me on
773-309-1667*

* *

*Please Find below Attached Resume Details *

* *

*Name **: ** SYED HAQ*

*Location : **Chicago** IL*

*Visa: **USC*

*Availability: **Immediately *

*Relocation: **Yes*

*Rate :** Open*

* *

*Details Summery:*

* *

·               *Sr. Business System Analyst** with 7 Years experience in
IT and software projects in web/windows application environment with
various relational database systems. Involved in various projects like
Reporting, Integration, Migration/Conversion and Configuration from legacy
application. Worked extensively in Business Analysis (Enterprise Analysis,
Requirements Elicitation, Requirements Analysis & Documentation,
Communications, Solution Assessment and Validation). *

·               *Experience with healthcare system, Medicaid and with prime
focus on claims adjudication, provider, eligibility and prior authorization.
*

·                       *Experience in configuration of claims adjudication
systems, FACETS 4.51/4.71.*

·                       *Experience with testing various test cases for
Facets interfaces and tracking/explaining bugs to development teams.*

·                       *Industry experience as a Business/Data Analyst
with solid understanding of Business Requirements Gathering, Data
warehousing, Data Modeling, Evaluating Data Sources, Translating
Requirements into Specifications, Application Design.*

·                       *Extensive experience in conducting Market
Research, Feasibility Studies, Data Analyses, Data Mapping, Data Profiling
, Gap Analyses, Risk Identification, Risk Assessment, Risks Analyses, and
Risk management.*

·               *Experience in Software Development Life Cycle
(SDLC)-Waterfall, V-Model, Prototype 89and Spiral model. Knowledge of
reporting tools (Cognos, Crystal Reports & Microsoft Reporting Services).*

·                       *Good working knowledge of Claims processing,
HIPAA Regulations
and 270, 837P, 837I, 837D EDI Transactions for health care industries.*

·                       *Efficient in MS Project/MS Excel for
planning/status reporting/writing test scenarios.*

·                       *Experience with HIPAA/EDI UB-82, UB-92 and HCFA
1500 claims, and HEDI information.*

·                       *HIPAA** Business Workflow Analyst / EDI x12N
Consultant for MMIS (Medicaid Managed Care System). *

·                       *Experience with developing HIPAA Companion Guides
for 834 Enrollments, 270/271 Eligibility Inquiry/Response & 820 - Health
Plan premium payments for MMIS (Texas, Maryland, Illinois and Virginia).*

·                       *Experience with Health Level Seven (HL 7) data
exchange models.*

* *

*Healthcare Domain specific experience:*

* *

·                       *Experience with HIPAA compliance and CFR Part II
electronic exchange guidelines.*

·                       *Experience in EDI automated first-pass claim
adjudication, requiring thorough understanding of claim processing, both
front and backend operations.*

·                       *Experience with Bluecross, Medicare, Medicaid, and
commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277,
820, 834, 835, 837 to third part vendor applications including NEIC, SSI,
ESI, Bluecross, Medicare, and several others using COBOL, Metafile, Visual
Basic, Unix, DOS, Assembler, C, FTP, Windows, Novell, and various other
communication packages.*

* *

*Thanks and Regards,*

* *

*ROGER SMITH** **| Account Manager *

*Email: ro...@ittechnics.com|Call: 773-309-1667*

*www.ITTECHNICS.com*

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