Healthcare Claims Analyst

3 weeks ago


Owings Mills, United States System One Holdings, LLC Full time

BUSINESS ANALYST - NASCO, Mainframe Billing or Enrollment

100% Remote

$42/hr. W2 Benefits available

ALTA IT Services has a 100% remote, 12 month + contract opening for a Business Analyst with NASCO, Mainframe and Billing or Enrollment experience to support a Maryland-based health insurance customer.

Top 5 Requirements/Skills Project Management/Gathering Requirements Excel, Word, Access, Reporting skills Job/work experience/Strong work ethic Problem solving and Analytical skills. NASCO Group Enrollment & Billing/Finance experience Mainframe systems navigation

PURPOSE: The Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented, and acted upon by eliciting, analyzing, documenting, validating, specifying, and verifying the needs of business or user. The incumbent assists in the gathering and synthesizing of business requirements for low complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow.

ESSENTIAL FUNCTIONS: 25% Interpret business needs and issues by gathering, eliciting, analyzing, documenting, and validating the Business area's user and technical (functional/non-functional) requirements. Under the direction of a Lead or Senior Business Analyst, participates in the creation of requirements documentation. Collaborates in the creation of project plans to define, organize, and schedule requirements management and development activities. Participates in requirements analysis and verification sessions. Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements. 25% Responsible for the overall success of user acceptance testing, including documentation, verification, and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Providing guidance and training to application end users. 20% Identifies, documents, and troubleshoots problems in systems, software, and processes. Collaborate with appropriate stakeholders to monitor, report, and resolve issues. Participates in the development of solutions and workarounds that solve low complexity technical, system and/or business issues. 20% Reviews, analyzes, and creates detailed documentation of business systems and user needs. Responsible for the written documentation of requirements in a clear and well-organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of low complexity. 10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests. Education Level: Bachelor's Degree, Business, Information Technology, Computer Science, or related field Experience: 3 years of experience in functional, operational, business, data, systems or testing analysis. In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

PREFERRED QUALIFICATIONS Demonstrated ability to deliver high quality, effective deliverables on-time and be a valuable contributor to the development of cost-effective solutions. Moderate understanding of business analysis core competencies Strong time-management and organizational skill, Proficient Excellent communication skills both written and verbal, Proficient. Ability to organize stakeholder meetings, Proficient. Microsoft Office applications usage, Proficient

HOURLY RATE: $ 42/hr. range W2. C2C is OK but must be willing to convert to FTE.

For consideration, please contact Melissa McNally via mmcnally@altaits.com

#M1 #J-18808-Ljbffr



  • Owings Mills, United States nTech Workforce Full time

    Terms of EmploymentW2 Contract, 6 monthsThis position is 100% remote. Candidates must be comfortable working Eastern-hours.OverviewOur client seeks a Lead Business Analyst to join their Product Management Team. The role will focus on a project consolidating various lines of business-Utilization Management (UM), Care Management (CM), and Appeals and...


  • Owings Mills, United States nTech Workforce Full time

    Terms of EmploymentW2 Contract, 6 monthsThis position is 100% remote. Candidates must be comfortable working Eastern-hours.OverviewOur client seeks a Lead Business Analyst to join their Product Management Team. The role will focus on a project consolidating various lines of business—Utilization Management (UM), Care Management (CM), and Appeals and...


  • Owings Mills, United States nTech Workforce Full time

    Terms of EmploymentW2 Contract, 6 monthsThis position is 100% remote. Candidates must be comfortable working Eastern-hours.OverviewOur client seeks a Lead Business Analyst to join their Product Management Team. The role will focus on a project consolidating various lines of business—Utilization Management (UM), Care Management (CM), and Appeals and...


  • Owings Mills, United States CompuGroup Medical Full time

    Create the future of e-health together with us by becoming a Software Implementation Analyst At CompuGroup Medical we have the mission of building ground-breaking solutions for digital healthcare. Our vision is revolutionizing how healthcare professionals produce, access, and utilize information and thus enabling them to focus on the core value of their...


  • Owings Mills, United States RadNet Full time

    **Responsibilities**: Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are_ Radiology Forward_. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a...

  • Billing Specialist

    1 week ago


    Owings Mills, United States HomeCentris Healthcare Full time

    HomeCentris is a leading provider of home health care services dedicated to improving the quality of life for our clients. We offer compassionate and professional care tailored to meet the unique needs of each individual. Our team is committed to delivering exceptional service and building strong relationships with our clients and their...


  • Owings Mills, United States Carrington Full time

    Carrington Bankruptcy Ledger Specialist Owings Mills , Maryland Apply Now Come join our amazing team and work remote from home! Bankruptcy Ledger Experience Required to be Considered! The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the Bankruptcy process on residential mortgage loans to minimize potential...


  • Owings Mills, United States RadNet Full time

    Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as Senior...


  • Owings Mills, United States RadNet Full time

    Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as Senior...


  • Owings Mills, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a local contract Occupational Therapist for a local contract job in Owings Mills, Maryland.Job Description & RequirementsSpecialty: Occupational TherapistDiscipline: TherapyStart Date: 06/10/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractPerks: Day 1 Medical, Health, Dental,...


  • Owings Mills, United States CareFirst BlueCross BlueShield Full time

    PURPOSE: This role will credential dental practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and...


  • Owings Mills, MD, United States LanceSoft Full time

    LanceSoft is seeking a local contract Occupational Therapist for a local contract job in Owings Mills, Maryland.Job Description & RequirementsSpecialty: Occupational TherapistDiscipline: TherapyStart Date: 06/10/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractPerks: Day 1 Medical, Health, Dental, Vision Insurance....


  • Kings Mills, United States MRG Exams Full time

    Job DescriptionJob DescriptionJob Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists.Location: Ohio (Southern Ohio Preferred)Company Overview:MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for...


  • Kings Mills, OH, United States MRG Exams Full time

    Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed...

  • Travel Nurse RN

    5 days ago


    Browns Mills, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Browns Mills, New Jersey.Job Description & RequirementsSpecialty: Electrophysiology LabDiscipline: RNStart Date: ASAPDuration: 13 weeksEmployment Type: TravelJob Description:Supplemental Health Care is working with a hospital in Browns Mills, New Jersey to...


  • Browns Mills, NJ, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Browns Mills, New Jersey. Electrophysiology Lab Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Browns Mills, New Jersey to hire Electrophysiology Lab Registered Nurses. For more than 30 years,...

  • Travel Nurse RN

    5 days ago


    Browns Mills, NJ, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Browns Mills, New Jersey. Job Description & Requirements Specialty: Electrophysiology Lab Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: Supplemental Health Care is working with a hospital in Browns...

  • Travel Nurse RN

    4 days ago


    Browns Mills, NJ, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Browns Mills, New Jersey.Job Description & RequirementsSpecialty: Electrophysiology LabDiscipline: RNStart Date: ASAPDuration: 13 weeksEmployment Type: TravelJob Description:Supplemental Health Care is working with a hospital in Browns Mills, New Jersey to...