Hi Friends,


Need Sr. Business Analyst with EDI, NPI

* *

*Location*: Owings Mills, MD

*Duration*: 6 months plus



*Job Description of Requested Services: *
Client is looking for a preferred vendor, with staff augmentation services,
to provide a system Business Analyst (BA) with the responsibility of
providing production/business support for the *Electronic Data* *Interchange
* (*EDI*) department.

*The BA will be responsible for:*
• Operations support
• Analytical day to day support for an EDI system and system enhancements.
• *Incident Control (IC) resolution to facilitate claims processing**
*• Analysis and search of moderately complex system problems, coordinating
with other parties as necessary and tracking to resolution
• Development, documentation and communication of alternative workarounds
for system defects
• Performing business support responsibilities to include production
monitoring, file maintenance, ad hoc reporting and consultation with
internal and external users
• Installation of quarterly Accounts Receivable updates, including off-cycle
critical and emergency modifications Supporting Systems improvements as a
result of Corporate Initiatives, Legislative Mandates and non-corporate
projects
• User Acceptance Testing support.
• Daily Trading Partner Reconcilement and Monthly Invoice support


*The required skills for the position are:*
• 4+ years of Business analysis/system support experience with *Health
Insurance Systems required*.
• Must have *enrollment and billing* business and/or technical knowledge.
• Strong written and verbal communications skills
• *Functional specifications, minimum 3-5 years experience*
• Ability to analyze and document system procedures
• Extensive *HIPAA analysis* and assessment, knowledge of HIPAA rules and
regulations.
• Experience with transaction sets *835, 837, 270, 271, 276, 277**
*• Working knowledge of *TSO, Fileaid, SQL*.
• Experience with *National Provider Identifier (NPI)* and cross walk to
legacy ID.
• Solid expertise with MS Word, Excel, PowerPoint, and Project
• Experience with *Serena ChangeMan* and *Serena TeamTrack.*
• Support system requirements walkthroughs/sessions (*JAD)* with *Business
Owners,* *Stakeholders, SME’s and technical team*.
• Capture, document and validate business and functional requirements
specifications.
• Develop and finalize test plans, test scripts, traceability matrices, and
use cases.
• Development, planning and execution of overall system/regression testing
activities to ensure the application meets all business and functional
requirements as documented in traceability matrices.
• Function as a *Business liaison to the Design and Development
teams*during translation of requirements specifications into detailed
design.
• Collaborative problem resolution on day to day issues
• Translate business requirements into structured flow diagrams,
specifications.
• Coordinate with business sponsor for business line deliverables such as
training materials and SOPs
• Ability to coordinate with internal customers, participating on a project
team on a day to day basis, while effectively providing status to
Management.
• Requirements Development and Management (to include experience with Use
Cases and Requirements Management Software)
• Software Testing (to include User Acceptance Testing and experience with
Testing Tools)
• Project Management
• *Knowledge of Software Development Life Cycles (to include RUP/Iterative)*

* *

*Send your resumes to [email protected]*

-- 
Thanks & Regards,
Bhanu
Clear Thought Solutions LLC
| Tel: 919-655-4169
|Email:[email protected]<email%[email protected]>

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