*CareFirst BCBS *in *Washington, DC*

*Skype Hire…  12 months contract role..*





 *Lead Business Requirements Analyst**(Claims Processing)*

*Tasks:*

The FEP Operations Center is seeking a Lead Requirements Analyst to support
Claims Project Requirements initiatives.

*Required Skills*

·  Candidate must demonstrate solid knowledge of Health Care Claims
processing.

·  Candidate must demonstrate experience in one or more of the following
Healthcare domains:

o    o   Medicare/OPL Claims Processing

o    o   HIPAA Transactions (837, 270/271, 276/277)

o    o   4010 to 5010 Conversion

o    o   Healthcare Plans (Commercial and Government)

o    o   Benefits Administration

o    o   Coordination of Benefits

o    o   ICD Codes



·  Candidate must demonstrate ability to lead a requirements development
initiative using the appropriate IIBA and PMP methodologies, tools and
techniques.

·  Candidate must lead and execute the various requirements analysis
techniques required to deliver a successful project.

·  Candidate must have deep knowledge/experience in using various
requirements analysis techniques such as:

o Context Data Flow Diagram

o Entity Relationship Diagram

o Glossary

o Process Decomposition Diagram

o Decision Tables

o Workflow Diagramming

o Use Case Modeling

o User Stories

o Prototyping

o Translate Business Rules into Decision Table Models

o Document “AS IS” and “TO BE” processes



·  Candidate must demonstrate strong verbal and written communication
skills to:

o Conduct walkthroughs with internal and external teams.

o Elaborate business requirements

o Produce functional specifications, user interface specifications,
business rules, use cases, and/or data dictionaries



·  Candidate’s ability to analyze existing system processes is a plus

·  Candidate should demonstrate knowledge of skills to perform data
analytics such as knowledge of basic SQL queries



*Software & Tools:*

*MS Office suite of products, SharePoint, modeling tools, HP ALM, Adobe
Acrobat*






*Regards, Meenu Yadav*



*IT-Technical Recruiter Source Infotech Inc. **3840 Park Avenue, Suite
C-205, Edison, NJ-08820*

*Phone#: 609-608-0466|| Fax: 732-909-2282 || Email: *
*mya...@sourceinfotech.com* <mya...@sourceinfotech.com>

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