• Us Citizen

• Green Card

• Corp-Corp

• Consulting/Contract

• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 24th Apr 2021

Support engagement delivery from healthcare functional knowledge standpoint like Payer Commercial /Medicare/Medicaid market, Provider & Network management, Billing, Enrollment, Claims etc.

Functional Knowledge and configuration experience of Healthcare Claims operations

Working experience of Claims solution design and implementations for Healthcare Payor

Working experience on EDI files (835/837,20/271)

Experience in testing claims setup & configuration

Lead business requirement discussions and create business & functional requirements document in partnership with other team members

Create business features & Epics and create stories in partnership with IT partners

Working experience on one of the scrum tools like Jira/Rally

Synthesize data/Generate outcomes to support deliverables

Conduct system review sessions with all stakeholders including business & IT

Conduct stakeholder interviews & conduct workshops to gather functional inputs on engagements

Perform internal & external research related to Healthcare payer industry & their operating models

Be a liaison between business stakeholders and IT team to translate business needs into IT features

Review current business processes and develop future state business process flows & operating models