Provider Technical Business Analyst

1 month ago

Raleigh, United States Serigor Inc. Full time
Job DescriptionJob DescriptionJob Title: Provider Technical Business Analyst (HYBRID)
Location: Raleigh, NC
Duration: 12+ Months

Job Description:
The Client is seeking a Technical Business Analyst to assist with the implementation of the Provider Enrollment and Data Management and Credentialling module under the direction of the Technical Lead. They will be interfacing with the Business Owner, stakeholders, and vendors to oversee the implementation. Their responsibilities include support of data conversion activities, validating mapping between legacy and target system, and validating conversion outputs with the Business team. Another responsibility is the support in integration/interfaces tasks from validating designs, verify related business processes and interacting with the integration partners for interface testing. They will also provide project support to assist with planning, analysis, documentation, and execution of tasks to meet project objectives timely.

This position requires critical thinkers who can work independently and can use their analytical abilities to evaluate smaller components to see a larger concept where questions, recommendations and assessments can be shared with the business. They must be able to work closely with the Business team and have the ability to communicate easily with technical and business teams across all vendors involved in the PDMCVO project, ITD, and DHB.

Skills:
  • Excellent written and oral communication and ability to facilitate small to large meetings Required.
  • Managing and Working with Multiple Vendors. Required.
  • Demonstrated experience in gathering business requirements and developing of business rules and process flows. Required.
  • Experience working with one or more databases - SQL skills preferred.
  • Hands-on experience in different file transfer methodologies and different file types and layouts such as csv, txt, XML, etc.
  • Proven experience delivering business intelligence solutions and Data Conversion.
  • Knowledge of Agile Methodology
  • Ability to communicate effectively and be able to work independently with minimal supervision.

Skills:
 SkillRequired / DesiredAmountof ExperienceExperience working with multiple vendorsRequired  Should have the capability to translate business requirements into technical solutionsRequired5YearsProject Management ExperienceRequired5YearsStrong understanding of healthcare Provider, Provider Credentialling, Enrollment, Eligibility, and Claims processingHighly desired  Working knowledge of Medicaid and/or MMISHighly desired  Excellent verbal and written communication skills with the ability present to both technical and business audiences.Highly desired  Proven experience delivering Business Intelligence solutionsDesired  Experience with Agile methodology and ScrumRequired5YearsExperience developing SQL queries.Required5Years
 

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