Healthcare-Business Analyst/SME | Remote

Ashburn, VA Ashburn VA 20147

Date : Jan-09-25

Healthcare-Business Analyst/SME | Remote

Ashburn, VA

Jan-09-25

Work Authorization

US Citizen
GC
H1B
GC EAD, TN EAD, H4 EAD, L2 EAD

Preferred Employment

Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire

Job Details

Experience

:

Midlevel

Rate/Salary ($)

:

Market

Duration

:

612 months

Sp. Area

:

Business Process, RPA, BPM

Sp. Skills

:

Business Analyst

Consulting / Contract

Required Skills :

Healthcare, Hospital, Insurance , business Analyst

Preferred Skills :

Domain :

IT/Software, HealthCare, Insurance

Work Authorization

US Citizen
GC
GC EAD, TN EAD, H4 EAD, L2 EAD
H1B

Preferred Employment

Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire

Job Details

Experience

:

Midlevel

Rate/Salary ($)

:

Market

Duration

:

612 months

Sp. Area

:

Business Process, RPA, BPM

Sp. Skills

:

Business Analyst

Consulting / Contract

Required Skills :

Healthcare, Hospital, Insurance , business Analyst

Preferred Skills :

Domain : IT/Software, HealthCare, Insurance

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Zibal Technologies
Washington, DC
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Job Description :

Job Title: Healthcare Insurance BA (SME)

Job Type: Contract

Duration: Minimum 6-12 months

This role requires a person to work in the product implementation team and assist in implementing our product.

This person will need to travel to customer locations and liaise with them to gather requirements and document them for the offshore delivery team.

Job Description:

10-12 years of Health SME (Subject Matter Expert) experience, Preferably in health care or health insurance industry
Health, Hospital/Wellness, Cancer, Critical Illness, MEC1-Skinny Limited Medical, MEC2-Limited Medical, MEC3-Limited Medical products expertise is a must in US region.
Proven experience with underwriting processes, policy admin systems, claims process, benefit configuration, Form generation, and integrations with down and upstream systems.
Proven experience in implementing Health portals following ANSI EDI standards.
Experience with Health insurance systems for carriers and MGAs
Exposure to Medicaid and Medicare systems
Knowledge and Experience in billing, Claims, HIPAA regulations, EDI files
Proficiency in requirements gathering, process modelling and documentation
Ability to collaborate with stakeholders at all levels internally and clients
Familiarity with industry specific tools for policy administration, claims management and underwriting
Experience in integration of core system with portals and apps.
Extensive experience in functional integration with associated third-party systems

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