Job Title: Business Analyst

Location: Reston, VA

Duration: 9 months contract

Only on W2

Description:

Senior Business Analyst will be responsible for researching, writing requirements (including data mapping), and sharing information with Plans on Client EDI changes.

May at times need to write business intent, business requirements, functional requirements, non-functional requirements, and system/process impacts for Client's Claims and Audit processes and systems.

Position Requirements:

5-8 Years Experience

Strong demonstrated analytical skills applied to business software solutions maintenance and/or development.

Knowledge of health care claims adjudication processes, logic and data

Hands-on X12 health care insurance transaction (834, 837, 270, 271, etc.) data mapping and issue resolution experience

Knowledge of the software development standards and practices.

Demonstrated ability to find efficiencies and improve processes.

Proven ability to determine systemic process faults and improve overall process performance across organizations.

Understanding of claims adjudication, particularly in a health care environment

Understanding of health industry diagnosis, procedure and revenue codes and their application

Strong business analytical skills.

Strong process analysis skills

Strong process documentation skills

Excellent communication/writing skills,

Excellent interpersonal skills

Attentive to detail, highly -organized, and able to multi-task

Ability to work independently and meet deadlines

Preferred:

Experience with claims adjudication in the Federal Employee Program Health Benefit Plan

Experience in a software application development environment in an analytical role

Bachelors (Health administration; business administration; software engineering or related degree required)