Job Details

ID #5189900
Estado Pennsylvania
Ciudad Pittsburgh
Tipo de trabajo Contract
Salario USD $50 - $60 50 - 60
Fuente ICONMA
Showed 2020-10-25
Fecha 2020-10-14
Fecha tope 2020-12-12
Categoría Etcétera
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Senior Business Analyst

Pennsylvania, Pittsburgh, 15201 Pittsburgh USA

Vacancy caducado!

Senior Business AnalystLocation: Pittsburgh, PADuration: 6 months with possible contract to hire

Job Description:

Job summary:- This job provides expertise for moderately to very complex problem solving and complete understanding of system functionality.- The incumbent reviews significant amounts of information and analyzes processes to support business unit needs.- Troubleshoots errors, conducts impact analyses, and/or solves data rejection.- Performs business analyses in one or more operational areas.- Identifies process gaps and recommends process improvements for efficiencies.- Provides guidance and education to Associate and Intermediate level employees.

Essential responsibilities:- Responsible to design, configure, test, implement and maintain configuration payor pricing, membership, claims and/or benefit configuration rules and clinical operations (Care management, Utilization management)- Perform data reporting- Investigate and resolve configuration-related provider, member, claim processing, and clinical operations issues and assist other departments in understanding configuration rules- Understand and maintain configuration, contracts, products and policies- Configure, test, implement and maintain Payor and Clinical operation configuration rules to support changes in contracts, legislation, and payment policies and procedures- Participate in reviews, impact assessment, testing and modifications for application updates, upgrades, and installations- Assist in the development of test scenarios and changes and/or projects to ensure accuracy of configuration completed- Develop and maintain configuration documentation and communicate changes- Research and respond to service requests in a prompt and timely manner and update or build configuration to support the need.- Have a solution mindset to come up with configuration solutions for the business requirements- Act as a SME in Clinical and Payor configuration rules guiding the team for configuration tasks- Excellent communication and analytical skills- Skilled at working within a team-oriented, collaborative environment- Other duties as assigned.

Key Skills:- GuidingCare is required skill set- HealthEdge – HealthRules Payor experience required.

Vacancy caducado!

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