• US Citizen

• Green Card

• Corp-Corp

• Consulting/Contract

• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 16th May 2022

Number of Positions       5

Required Experience     

• Health insurance Experience (5 years)

• Operations Department Experience (5 years)

• Implementation / Project Experience with Claims, Configuration, or Enrollment (5 years)

 

Required Skillsets

• Ability to problem solve.

• Ability to operate as the primary subject matter expert and point of contract for a domain / functional area of responsibility.

• Ability to conduct a review and evaluation of Medicaid Contract and Technical Manual in full.

• Business Requirements Planning, Elicitation, Development

• Ability to build and execute on Test Cases

• Ability to conduct thorough Decision Analysis

• Ability to conduct Root Cause Analysis

• Ability to collaborate well with Stakeholders.

• Ability to understand a problem, and then plan for / clearly articulate a solution.

• Ability to present to Director and VP level leaders in a clear and well understood manner.

 

Role Expectations           

• Communicating & reporting status on all deliverables.

• Conduct various analysis based on program needs.

• Effectively collaborate with SMEs, Leads, & PMs

• Conduct Decision Analysis

• Conduct Root Cause Analysis if required

• Build & Evaluate Process Flow Diagrams

• Elicit and identify Business Requirements

• Requirements Development (HLBRs, DLBRs)

• Obtain approval / sign off of Requirements

• Build Test Scenarios / Cases from Requirements

• Participate in PM Meetings

• Availability during Mock and Go Live (night / weekend)

• Availability for issue resolution through Warranty Period