Hi Friends, 

Hope your day is going well! 

Do not reply to this mail.......Please send me matching profiles to 
b...@datagrp.com  ASAP. Please go through the requirement thoroughly and submit 
matching resumes. (Call me at 732 333 3219) dir



Must be Green Card Holders / US citizens / EAD or OPT's 

 

 
Position:  Sr. BA with Facets, EDI, and HIPPA 

Location: Owings Mills, MD

Duration:  6+ months

Rate:        $40-45/hour on W2

 

I have not been receiving a lot of resumes lately. Please let me know if you 
have any candidates for the below requirements or the Informatica positions I 
sent out last week.  They are very urgent. 

 

Role Responsibilites:

. 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

 

Required Skills

. Comprehensive, hands-on experience working with FACETS 4.5 and 4.7.

. Experience in translation of EDI transactions (837,835) to FACETS Gateway 
format.

. Experience with HIPAA X12 transaction sets 835, 837, 270, 271, 276, 277, both 
4010 and 5010

. 4+ Years of Business analysis/ system support experience with Health 
Insurance System required 

 

Preferred

. Extensive HIPAA analysis and assessment, knowledge of HIPAA rules and 
regulations.

. Enrollment and billing business experience and technical knowledge. 

. Experience with CareFirst preferred

. Strong written and verbal communication skills

. 3-5 years of experience with Functional specifications

. Working knowledge of TSO, Fileaid, and 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) 

 

 

 

Best Regards,

Bernard D'Souzza

Account Manager - Data Group Inc 

 

 

Certified Minority Women Owned Business Enterprise (MWBE) & Small Business 
Enterprise (SBE)


--------------------------------------------------------------------------------

Office: 732-791-2348 Ext: 242 | Fax: 732-907-1174 |email: b...@datagrp.com| 
Website: www.datagroupinc.net|


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