Healthcare Payer SME/Proxy PO

1 month ago


San Francisco, California, United States QData Full time

The Healthcare Proxy Product Owner/Domain SME translates business needs into clearly defined and documented detailed high quality requirements and/or supplemental specifications for new applications or analyzes change requests/enhancements in existing applications.

Analyzes data to determine business problems.

Handles information including patient services and how the services are paid after conducting investigations and pursuing recoveries through contact with various parties.

The Analyst works collaboratively within or outside the team to identify charge system weakness to recommend changes and focused education.

Will also ensure adherence to compliance policies and contracts. Knowledge and experience of Medicare & Medicaid.
Responsibilities/Tasks Reviews analyzes and evaluates business processes and associated IT application requirements. Develops and executes test strategies plans scenarios and tracks resolution to identified defects. Defines and documents business and IT system processes. Models AS-IS and TO-BE processes.

Conducts and facilitates JAD sessions to develop and coordinate the requirements specifications design and testing efforts for medium to large projects.

Analyzes business workflow and system needs for conversions and migrations; assists in data mapping. Conducts gap analysis and uses analytical skills to identify

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