Immediate interview Business analyst (Health care ) / Monterey Park, CA
Hi,
Here is the job details
Role- BA ( Health care)
Location- Monterey Park, CA
Client: Blue Shield
Rate: $40-42/hr on C2C
Interview mode: Phone then Onsite
General Summary:
Support Care1st encounter department to work with Blue Shield of California for Member Migration Project encounter inbound process going live on 1/1/2019. This incumbent needs to work with all Blue Shield and Care1st to clarify and address all encounter business requirements of inbound process using Edifecs, ensure the business requirements of all encounter processes and systems to be translated into functional requirements and implemented by Edifecs accurately and timely; map all data feed from Blue Shield systems to Care1st oracle environment; document all project efforts; and ensure the process results be compliant with Blue Shield of California, Care1st, CMS, DHCS, and all regulatory standards; optimize the solutions to support the organization priorities.
Essential Functions and Key Responsibilities (in descending order of importance):
% of Time Responsibility
15 Analyze, clarify, and validate encounter business and functional requirements
40 Map all HIPAA compatible data from Blue Shield systems to Care1st oracle environment
30 Design and coordinate the test Plan & test Cases; and ensure all business requirements to be delivered accurately & timely by Edifecs
15 Coordinate the project efforts, facility meetings and document all project efforts by following the project management life cycle & Software Development Life Cycle (SDLC)
Minimum and Preferred Qualifications:
Education:
Bachelors degree is required in computer science, healthcare management, data management, healthcare science, statistics, etc.
Masters degree is highly desired
Experience:
Minimum of 5 years healthcare related experience working in a managed care environment, preferably in a data analysis, operation management, and informatics position
Ability to comprehend and work with HIPAA standard transaction sets, specifically 837P, 837I, 837D, NCPDP 4.2, 277, and 999 (must)
Proficient in MS Access and Oracle database, SQL, and MS Office
Ability to conduct comprehensive data analyses and find the root causes and solutions
Ability to take the initiatives to develop methodologies, strategic plan to optimize the process and performance
Ability to write analytical reports and comprehensive summaries
Ability to effectively communicate with management and staff, as well as with external submitters
Ability to prioritize and lead multiple projects concurrently
Able to work in a fast paced environment with frequently changing work demands
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Thanks & Regards,
Sunil Chauhan
Sr. Recruitment Specialist
US IT Solutions
3031 Tisch Way 110 Plaza West STE #1098
San Jose, CA 95128
Email : Sunil @usitsol.com
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