*Hi Anil,* *Nice Speaking with you.*
*Please send me the rate confirmation for your consultant **Rajesh Reddy as $55/hr on C2C all inclusive** fo the position at SC.* *Thanks and Regards* * RICKY* *[image: pppp]* *Head/Sr.Resource Manager* * APETAN CONSULTING LLC* *72 Van Reipen Avenue # 255* *Jersey City, NJ 07306* *[image: image001.gif]** Direct:* *201 377 5619* * Email: [email protected] <[email protected]>* *Fax: 201-526-6869 <201-526-6869>* *[image: image002.jpg]* <http://www.linkedin.com/home?trk=hb_tab_home> *Gtalk:** [email protected] <[email protected]> * *www.apetan.com <http://www.apetan.com/> * * Disclaimer: We respect your Online Privacy. This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. If you are not interested in receiving our e-mails then please reply with a "REMOVE" in the subject line at [email protected] <[email protected]> and mention all the e-mail addresses to be removed with any e-mail addresses, which might be diverting the e mails to you. We are sorry for the inconvenience.* *From:* Anil ABAL [mailto:[email protected]] *Sent:* 13 June 2014 14:49 *To:* [email protected] *Subject:* Senior Business Analyst (8-10 Years / Healthcare Insurance) @ Columbia | SC // 12+ Months Hi *Ricky*, It was nice talk to you , As per our discussion over phone ! Please find the attached resume of my consultant *Rajesh* Name: *Rajesh Reddy* Ph: *618- 965 -8400 * Email ID: *[email protected] <[email protected]> * Current Location: *Charlotte, NC* Relocation: *Open* Visa: *H1B*. Thanks, Anil [image: signature] An "E-Verify Employer" Hamilton, NJ 08619 Contact: 609-848-5390 * 206 Fax: 609-543-2609 Email: [email protected] G-Talk:anilabal563 Linkedin : in.linkedin.com/pub/anil-kumar/73/619/396/ www.abaltech.com *Dear Candidate,* *We have an urgent opening for ** Senior Business Analyst **and I have sent you a job description ,Please go through it and let me know if you are comfortable with it and also send me your updated resume ASAP as applicable (Updated Resume with your Employer Details ) .* * Title: Senior Business Analyst **(8-10 Years / Healthcare Insurance)* * Location: Columbia | SC* * Start date: ASAP* * Duration: 12+ Months* *Job Description* * This project will be *very complex and will demand exceptionally high quality team members *DAILY DUTIES / RESPONSIBILITIES:* * A Replacement MMIS Business Analyst (BA) is responsible for evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. **Duties include:* * • Requirements *development execution*, including the *elicitation, analysis, specification and validation *. • *Documenting and analyzing agency business processes* and data. *Recommending improvements, data requirements and relationships. * • *Participate* in the requirements *management processes, including change control; version control; tracking and status reporting; and traceability. * • Providing requirement *interpretation and guidance to technical and test teams *. • Proactively *identifying risks, issues, and action items leading to possible solutions *. • *Interacting* with *internal and external organizations * (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders). • *Planning for, conducting, and reporting on testing and other quality assurance activities *. • Other *related activities. Subject matter areas include: * provider management, member (beneficiary) management/eligibility, claims (professional, institutional, pharmacy, dental, durable medical equipment, transportation, etc.), third party liability, claims payment, and State budget assignments, financial management, provider reimbursement methodology, drug rebate, prior authorization, managed care, behavioral health, long-term care, program integrity, electronic health records, benefit plan administration, etc. **Familiarity with X12 EDI transactions, and the Affordable Care Act and it impacts on Medicaid eligibility and health insurance exchanges is also beneficial.* * EXPERIENCE REQUIRED:* *Claims Payment and Financial systems* * • *Medicaid budget assignments and financial general ledger reporting * • *Strong background and at least six years experience in healthcare insurance business operations *. **• At least four years experience in healthcare insurance IT software/systems implementations* * • Ability to *properly document business requirements *. • Ability to *interpret business process and business data models *. • *Vendor management * experience – • *Superb written and oral communications skills, including the ability to give presentations to executive management. Strong proficiency in English is required. * • Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. *Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary. * •* Willingness and ability to effectively engage with people and organizations on a continuous basis. * • *Agile, waterfall, SDLC, PLC * • *Requirements gathering experience * PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):* * • *Medicaid Information Technology Architecture (MITA *). • *Medicaid Enterprise Certification Toolkit (MECT). * • *outsourced healthcare insurance operations environment *. • *outsourced IT development project *. • * creating business process and business data models. * • *Public sector procurement experience is a plus*.* *Thanks and Regards* * RICKY* *[image: pppp]* *Head/Sr.Resource Manager* * APETAN CONSULTING LLC* *72 Van Reipen Avenue # 255* *Jersey City, NJ 07306* *[image: image001.gif]** Direct:* *201 377 5619* * Email: [email protected] <[email protected]>* *Fax: 201-526-6869 <201-526-6869>* *[image: image002.jpg]* <http://www.linkedin.com/home?trk=hb_tab_home> *Gtalk:** [email protected] <[email protected]> * *www.apetan.com <http://www.apetan.com/> * -- You received this message because you are subscribed to the Google Groups "Vendors" group. 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