Job Description

Hello There,

My name is Himanshu Sharma , and I serve as the Recruitment Lead at Kanak-IT INC. I am reaching out to share an excellent career opportunity for the role of Healthcare Business Analyst with our esteemed client. If you are interested then please share your updated resume at Himanshu01@kanakits.com .

Job Description

Position : Healthcare Business Analyst

Location : Remote- CA in PST

Duration : 6 months contract to

Note:

Remote, must have health payer experience. Must have experience working with Conduent/IEHP client (mandatory) and exp with Meditrac

Candidate must have Medicare claims configuration experience and preferred knowledge of HSP Health Solutions Plus claims processing system. The candidate needs to have strong skills in specific system configuration related to benefits and contracts/fee schedule

Under direction, this position:

1. Provides medium-to high-level support and expertise related to systems configuration, research and analysis, and State policy and procedure implementation, in support of the Application Analyst IV
2. Supports the Application Analyst IV and Application Services leadership in the analysis of Alliance business procedures, performance of medium to high level complexity systems configuration, and conducting related research
3. Provides core systems technology training and subject matter expertise to Alliance staff in coordination with other Application Analysts, Application Services leadership, and the Training and Development Department
4. Performs other duties as assigned

Description

• Bachelor's degree in Business Administration, Health Care, Information Technology, Information Science, or a related field and a minimum of five years (or a Master's degree and three years) of product configuration experience which included some experience related to training staff and a minimum of three years of experience in a managed health care environment; or an equivalent combination of education and experience may be qualifying.
• Ability to understand business issues and work flow challenges of the organization and industry Ability to analyze and write process maps, work instructions, and documentation
• Ability to train, guide, and act as a technical resource to staff
• Ability to manage multiple projects simultaneously, organize work, maintain accurate records and achieve goals and timelines
• Ability to translate business requirements into detailed product requirements
• Ability to adjust communication style in order to facilitate collaboration and understanding among both technical and non-technical audiences
• Ability to develop training content in collaboration with the Training and Development Department and conduct/facilitate training sessions for staff
• Ability to define issues, interpret data, and identify, evaluate and recommend options Ability to identify and resolve problems in a timely manner and recognize matters requiring escalation to a higher-level staff member
• Ability to demonstrate flexibility and creativity and to effectively adapt to change
• Ability to work collaboratively with a wide range of individuals at all levels of the organization Ability to work independently with minimal supervision and as a member of a team
• Experience with Alliance core and ancillary systems
• Experience working with methodologies such as Application Lifecycle Management and various project management methodologies and best practices
• Thorough knowledge of the Medicaid Program, the methods of product configuration in a Medicaid/Medicare environment, and the medical terminology, related procedures, and national diagnostic coding.
• Working knowledge of health care regulatory policies, principles of health care planning and administration, health care data analytics, State and Federal Legislative processes, and Medi-Cal Some knowledge of Agile/Scrum development environments
• Proficiency in the use of SharePoint

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