From: bhagyaraj3sbc@gmail.com   
      
   Job Title: Sr.Business Analyst   
      
   Location: Newark - NJ.   
      
   Start date: Immediate   
      
      
      
       
      
   Skills Required : Payer Domain , claims , EDI transactions ,Medicare ,   
   Medicaid , Agile , Waterfall   .   
      
   Domain Required : Healthcare   
      
       
      
   Job Description   
      
   ·         Analyzes reporting needs available data and various methods of data   
   retrieval to develop systems which are responsive to the needs of the   
   Department   
      
   ·         Develops and maintain production reporting capabilities Monitor the   
   timely and accurate production and distribution of all standard and special   
   usergenerated reports 3Provides support to the Utilization Management   
   Department for personal    
   computer usage by attending and teaching classes developing new applications   
   and disseminating information throughout the Department This support will be   
   manifested in the creative use of existing software and the ongoing efforts to   
   acquire the most cost    
   beneficial hardware and software required to generate the needed data   
      
   ·         Provides statistical and analytical support to the Department staff   
   Utilizes SAS SQL SOURCE and other statistical based software packages to   
   extract and analyze the data required by the Department for both continuing   
   and special needs   
      
   ·         Expertise needed in EDI and HIPAA Testing Privacy with multiple   
   transactions exposure such as 837 for submitting claims, 835 for payments, 834   
   for benefit enrollment, and 820 for premium payments to insurance products,   
   270, 271 for healthcare    
   benefits and eligibility, 276, 277 for claims status and 278 for transmitting   
   health care service information   
      
   ·         Strong knowledge of managed care payer requirements, Operational   
   improvements and procedures.   
      
   ·         Should be an experienced Business Analyst in the Healthcare   
   Industry on various areas like Claim Processing, Billing/Invoicing, and   
   Customer Care.   
      
      
      
   Thanks & Regards   
      
   BhagyaRaj  |Sr.Recruiter   
      
   T 281-823-9222x580 | bhagyaraj.bakuru@3sbc.com   
      
   Gtalk : bhagyaraj3sbc@gmail.com.   
      
       
      
      
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