[6519MSCRMCV] Need : Business Analyst with healthcare/medicaid exp in Columbia,SC[Citizens|Green Card| EADs only]-sandeep@clearthoughtsolutions.com

Business Analyst- Health Care Exp

# of positions : 8

Location: Columbia, SC

Duration: 12 Months

Citizens|Green Card| EADs only

Skill	Required /Preferred Skill?	Required Experience (Yrs)
Business Process Modeling (BPM)	Required	2 - 4 Years
Agile/Scrum Methodology	Required
JAD Sessions	Required
Business Analyst	Required	4 - 6 Years
Documentation	Required	4 - 6 Years
Public Sector	Required	6 + Years
ICD-9/ICD-10 - International Statistical Classification of Diseases and Related Health Problems	Preferred	4 - 6 Years
IT Healthcare Systems	Preferred	6 + Years
MECT - Medicaid Enterprise Certification Toolkit	Preferred	4 - 6 Years
MITA - Medicaid Information Technology Architecture	Preferred	4 - 6 Years

Specific duties :

·         Working and Using an Agile Methodology as it relates to completing sprints and working on tasks this included Daily Standups and reporting.

·         Develop business rules via interviews, translation of governing documents and other means.

·         Conduct JAD Sessions with the Product Owners and other

·         CONOPS Development as it relates to Claims (ASO)

·         Serve as team expert on Claim Adjudication, Reference, Waiver Programs, Managed Care Organization, Business Rules, and related topics.

·         Assist other team members in performing business rules, requirements, and modeling duties.

·         Research business rules, requirements, and models.

·         Maintain business rules, requirements, and models in a repository.

 

Required Skills (Rank In Order Of Importance):

 

·         8+ years’ experience in government IT projects as a business analyst or related duties

·         6+ years’ experience eliciting, mining, and documenting business rules

·         Strong knowledge of formal business rules methodologies

·         Strong understanding of business modeling techniques

·         Strong Understanding of State/Commercial Medicaid Claims, Benefit Plans, Claims Payment Cycle, Waiver Programs and Reference

·         Ability to effectively communicate to executive management, line management, project management, and team members.

·         Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.

·         Superb written and oral communications skills, including the ability to write requirements and Use Cases. Very Strong proficiency in English is required

 

Required Education: Bachelor’s degree in a technical, business, or healthcare field.

 

Preferred Skills (Rank In Order Of Importance):

 

·         Knowledge of the Agile Business Rules Development (ARBD)

·         Knowledge of Agile Methodologies

·         General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)

·         MMIS experience (project or operations)

·         Medicaid eligibility experience (project or operations)

·         Microsoft Office Project/Project Server

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Thank you

Sandeep R Tummuru || Resource Manager

Clear Thought Solutions LLC.,

Ph: 919 290 4346

Email : sandeep@clearthoughtsolutions.com,

gtalk : sandy4cts

Website : www.clearthoughtsolutions.com

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