Required Skills

provider Claims Adjudication Business Analysis BA claims

Work Authorization

  • Citizen

Preferred Employment

  • Full Time

Employment Type

  • Direct Hire

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 9th Nov 2022

JOB DETAIL

We Aegan Technologies is a global consulting firm focusing on designing, developing and deploying the finest Tech ideas and expertise to empower companies is now looking for below position

 

Location - chennai / HYD

Job description

QUALIFICATION (EDUCATION/ EXPERIENCE/CERTIFICATIONS)

. Any Bachelor's or master's degree

ROLE AND RESPONSIBILITIES

. Requirement understanding, estimation & creating business requirement documents

Basic qualification:

  • Bachelors degree or equivalent combination of education and experience
  • 4 to 8 years of business analyst or product specialist experience in us healthcare

payer industry.

  • Should have in-depth knowledge on claims platform capabilities and integration

points

  • Knowledge on business process flow in various sectors within the industry such

as enrollment, billing, claims, benefits, provider, utilization management

  • Prior experience in analyzing healthcare claims data & developing solutions

preferred

  • Understanding industry best practices of process design and standard.
  • Good interpersonal skills and excellent communication skills
  • Strong analytical skills with ability to collect, organize and analyze data using sql,

mainframe

Roles & responsibilities:

  • Prepare and delivery robust data driven solutions for customer challenges.
  • Proactively engage with stakeholders on requirements elicitation
  • Effectively document design into a high-level process workflow.
  • Create analytical product solutions on claims data coming from payers, blue health

plans, etc.

 

  • Translate business requirements, develop business cases and recommend solutions.

Be focused and drive best practices through business processes knowledge

  • Perform research and analysis to identify business problems and ability

to breakdown complex business issues to come up with solutions through extensive

data and system analysis.

Interested resources pls share your profiles & the below details at karthika@aegan-global.com

Full Name

Mobile number:

Email id:

Total exp:

Relevant exp:

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Current Location:

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Expected CTC:

Notice period:

 

Regards,

Karthika

HP:8870253111

 

 

Company Information