IMMEDIATE REQUIREMENT US CITIZENS OR GREEN CARD ONLY.
Hello, Hope you are doing great today!!! This is Imtiaz from Techleap Systems. I have an excellent opportunity from one of our clients. I would appreciate if you give prompt response on this. Please do respond back to imtiaz4techl...@gmail.com / imti...@techleapsystems.com *Position:* Business Analyst *Duration:* 12 months+ *Location:* Boston, MA *JOB DESCRIPTION* · This position is a client facing BA that is accountable for ITS reporting and analysis specific to ITS claims processing results for BCBSM. · This position will be utilized to conduct oversight of the ITS development and production team performance within including the specification documentation for ITS releases from the BCBS Association and assure timely and accurate implementation. · All ITS systems will be monitored via production control reports and this position will assure any defects will be immediately coordinated, addressed and communicated to the BCBSM ITS team. · This position is accountable for the final review of release notes prior to release to BCBSM. *Essential Job Responsibilities:* • Receive, review and interpret all claims processing related updates from CMS and/or the Association. Take the necessary steps to update our system and/or coordinate updates with other business partners. • Document and report all updates weekly via the compliance tracker. • Participate in weekly calls established by BCBSM to support resolution of defects, transmittals and CR’s. • Participate in release management meetings for both releases and ITS releases. Act and/or direct actions as needed to assure ongoing compliance. • Take adhoc service calls/questions from BCBSM directly and report out as needed. • Maintain ongoing awareness of the BCBSM contractual turn around times and adhere to and refine processes that assure ongoing compliance. • Manage all ITS claims adjudication and configuration defects, including identifying and managing the scope of the defect, the root cause of the defect, building a contingency and coordinating and providing the client ECD for all corrections. • Manage all incoming transmittals and defects received from BCBSM involving ITS claims adjudication and configuration. Coordinate implementation and delivery in accordance with contract. • Write desk level procedures (DLP’s) as needed to support ongoing ITS claims processing. • Initiate queries in the system to identify claims in need of reprocessing as needed. Coordinate the needed review and approval from the client. • Conduct testing as needed for all releases that involve changes to ITS claims processing. • Trend and react to themes within defects and transmittal changes and direct corrective actions to prevent unnecessary rework going forward. • Document functional specifications for changes required by the client, CMS and/or the Association when affecting ITS. Assure acceptance by both the client and the development team. *Minimum Education/Experience Requirements:* • Minimum 5 years experience with Medicare claims processing, combination of institutional and professional preferred. • Minimum 2 years experience with ITS claims processing at a BCBS plan. • Minimum 5 years health plan claims experience. • Minimum 2 years experience in Operations CMS and/or Association compliance role, i.e. accountable for interpreting regulatory requirements and directing actions as necessary. • Project management/time management skills • Vendor management • Ability to work independently with minimal supervision • Bachelor’s degree in relevant field or equivalent • Minimum 2 years experience in client facing role *Please Email me a copy of your WORD formatted resume along with details as mentioned below. * *Full Name: * *Current Location, City and State: * *Mobile and Home Phone No: * *Email ID: * *US work authorization: * *Visa Expiry date (If H1/EAD):* *Highest Educational degree: * *Overall years of experience* *Currently on a project: * *Willingness to relocate across US: * *Expertise & Skills Sets:* *Total IT Experience in Years: * *Interview Availability:* *Available to join from* (*Availability)*: *Skype Id:* *Expected Hourly Rate(c2c):* If this project does not match your exact skills perhaps you know of someone with the necessary experience and availability; if so, please feel free to forward this e-mail at your discretion or pass on their references to me. Thanks & Regards, *Imtiyaz* Technical Recruiter *214-716-0310 (Off) X2380* *imti...@techleapsystems.com <s...@techleapsystems.com>* *Techleap Systems* Colinas Business Park 4324 N Beltline Rd, Suite: 100 C, Irving, TX 75038. www.Techleapsystems.com [image: Description: Description: Description: signature-logo] -- You received this message because you are subscribed to the Google Groups "oraapps" group. To unsubscribe from this group and stop receiving emails from it, send an email to oraapps+unsubscr...@googlegroups.com. To post to this group, send email to oraapps@googlegroups.com. Visit this group at http://groups.google.com/group/oraapps. For more options, visit https://groups.google.com/groups/opt_out.
