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Health Insurance Business Analyst

Subject Matter Expert (SME) in Health Payer Information Technology Business Analyst. Extensive Health Insurance Operations -Billing, Claims processing and Adjudication, EDI Transactions (X12), Batch Transactions, Provider Service and Networks, Managed Care (Utilization Management - AUTHs and Referrals). Knowledge of business processes and system development life cycle (SDLC) and Product life cycle (PLC). Knowledge and experience with Health Payer software implementations and Upgrades/Enhancements. Agile approach to interpersonal communication, research and delivery solutions and processes. Adept at training end users as well as university students/scholars; guidance and subject matter expertise in Health Insurance operations and IT delivery. Extensive knowledge of business requirements gathering, analysis, documentation, publication and archiving. Extensive experience with software tools and applications.

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$70/hr Ongoing

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Subject Matter Expert (SME) in Health Payer Information Technology Business Analyst. Extensive Health Insurance Operations -Billing, Claims processing and Adjudication, EDI Transactions (X12), Batch Transactions, Provider Service and Networks, Managed Care (Utilization Management - AUTHs and Referrals). Knowledge of business processes and system development life cycle (SDLC) and Product life cycle (PLC). Knowledge and experience with Health Payer software implementations and Upgrades/Enhancements. Agile approach to interpersonal communication, research and delivery solutions and processes. Adept at training end users as well as university students/scholars; guidance and subject matter expertise in Health Insurance operations and IT delivery. Extensive knowledge of business requirements gathering, analysis, documentation, publication and archiving. Extensive experience with software tools and applications.

Skills & Expertise

AgileAnalysisBusiness AnalystBusiness RequirementsClaim InvestigationClaims AuditingClaims ConsultingClaims ManagementConsultantHealthHealth InsuranceManagementMedical Billing And CodingMembership Web DesignOrder ProcessingPLCQuality Assurance (QA)ResearchSoftware DesignTrainingWeb Form DesignWeb Hosting

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