Business Analyst / Medicaid SME

Business Analyst / Medicaid SME

Job Code: TJ_6608
Job Location: Springfield, Illinois
Zip Code: 62701
Job Category/Title:
Employment Category: Contract - Corp-to-Corp, Contract - Independent, Contract - W2
Position Type: Senior Level
Travel Required: No
Interview Type: In-person
Education: Associate Degree
Experience: 5-10 year(s)
Job Description: Must Have skills:

1) 7-10 year’s Experience in Healthcare industry with extensive knowledge on Medicaid Processes.
2) 5+ years of experience working with managed care business practices, either in Medicaid, Medicare or in the private sector.
3) 4+ years of experience analyzing data, preferably related to health care coordination, utilization management, health outcomes, grievance and appeals to determine compliance with requirements prefereably in MMIS space.
3) Exposure to MITA Framework and experience working on any State MMIS systems.
4) Experience or ability to learn Share Point.
5) 3+ years of experience with analysis/development of healthcare EDI files and familiarity with any database tools (ex: SQL).
6) 2+ Experience producing professional business documentation, Ability to facilitate business. requirements and discussions with client staff on business and functional topics.
7) Analyze current business processes, suggest improvements, and participate in design of new functionality.
8) Create functional designs and produce business process documents for claim processing, reports, and configurations, such as workflow and/or rule.
9) Excellent written and oral communication skills.
10) Experience in MS-word/excel/PowerPoint.
Duration: 6 Month(s)
No. of Posts: 1
Job Expiry Date: September 29, 2016
Telecommute: No
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