Business Analysis Domain Spotlight: Healthcare

♦ UG/PG degree from any reputed university (Computer science or medical field) is preferred
♦ Should have prior knowledge in RCM/claim processing, ICD-9 and HIPAA 5010 compliance
♦ Should be familiar with Healthcare transactions
♦ End to End knowledge on Medicaid modules like claims pricing, claims adjudication, TPL and claims payment
♦ Should have core knowledge in MITA and EDI health care transactions
♦ Experience on GEMS techniques and ICD 9 to 10 is preferred
♦ Should understand and develop complex programs in HTML
♦ Intermediate knowledge in working with Microsoft Excel
♦ Should participate in CMS meetings, develop new ideas and gather information about new technologies in health care industry
♦ Should understand Agile methodologies
♦ Capable to work in wireframes like (axure & balsamiq)
♦ Should be exposed to Technical writing, Business writing and maintain Business Requirements Documents (BRD), Non-functional documents and functional documents.
♦ Should fulfill the expectations of Internal/External stakeholders, should maintain customers information and do necessary improvements
♦ Strong analytical skill and problem-solving technique is required
♦ Should maintain Risk management during the project
♦ Should lead workshops, which generates new ideas to solve existing problems
♦ Ability to create business class presentations and should handle clients worldwide
♦ Should have excellent communication skills and should work with moral responsibility