*Hi Partners,* *Greetings………*
*Please mail suitable profiles to ke...@ifuturistics.com **in word format with contact number,current location and billing rate**.* *SR. OPERATIONS / BUSINESS ANALYST (HEALTHCARE ELIGIBILITY)* *Location: near Mahwah, NJ (Local candidates only please)*** *Duration: 3+ months (till end of the year, possibly into 1st Q of next year)*** *Rate: ALAP*** *Level: at least 5 years experience required*** *Job Description*: *·**Review and analyze test results for new client installations/custom reformats and existing client base through a successful production cycle.* * * *·**Review client custom requirements with cross-functional areas as they pertain to Eligibility, Prior Authorization and External Claims Loads to ensure all requirements are documented and interpreted according to the client specifications. This entails scheduling of meetings, coordination of testing and sign-off of test results for promotion to production.* * * *·**Review requirements documented in the ISR and Technical Requirements documentation.* * * *·**Interface with Business Requirements and Account Management teams for client test dates, production dates, card mailing dates, number of households and all other criteria pertaining to client implementation.* * * *·**Review and analyze test files received from the client and report any discrepancies or issues with the client data utilizing the Statistical Analysis form. *** *· **Review Client Profile, Eligibility Customer ID, TCS (Transmission Control System) and Eligibility Tracking screens to ensure they equate to the requirements specified for the individual client.* * * *·**Upon completion of testing, coordinate receipt of production files with Account Management, review and analyze files through a full production cycle, consisting of three file receipts, prior to turning over to Eligibility Daily Production Team.* * * *·**Perform Back-end checking process, post-production, to verify data was loaded to the member master file appropriately. Report any issues to Eligibility Management immediately.*** * * - *Analyze production eligibility pre-edits for possible new enhancements, providing solutions to Account Management.*** - *Act as point person for Eligibility functional area in problem resolution.*** - *Provide support for the Eligibility Response Team to ensure that measurements are met and Management reporting is published. *** - *Provide support to Eligibility Management relative to system enhancements.*** - *Provide support to Eligibility Management in regard to the Eligibility Release process.*** - *Represent Eligibility Management at cross-functional meetings.*** - *Provide support to Eligibility Management for the training of new hires. *** - *Additional duties or special projects as assigned by management.*** - *Have sufficient leadership skills to conduct and lead meetings being the responsible party for the completion of that task.*** - *Have sufficient leadership and organization skills to lead projects. *** -- Thanks & Regards, Kevin ke...@ifuturistics.com iFuturistics Inc Tel:914-455-4228 skype:kevinifi "Note: We respect your on-line privacy. This is not an unsolicited mail. Under Bill 1618 Title III passed by the 105th US Congress this mail cannot be considered Spam as long as we include contact information and a method to be removed from our mailing list. If you are not interested in receiving our e-mails then please reply with a "REMOVE" in the subject line. I am sorry for the inconvenience caused to you" --~--~---------~--~----~------------~-------~--~----~ You received this message because you are subscribed to the Google Groups "US_IT.Groups" group. To post to this group, send email to us_itgroups@googlegroups.com To unsubscribe from this group, send email to us_itgroups+unsubscr...@googlegroups.com For more options, visit this group at http://groups.google.co.in/group/us_itgroups?hl=en -~----------~----~----~----~------~----~------~--~---
