What are the responsibilities and job description for the Healthcare-Business Analyst/SME | Remote position at Zibal Technologies?
Job Title : Healthcare Insurance BA (SME) Job Type : Contract Duration : Minimum 6-12 months This role requires a person to work in the product implementation team and assist in implementing our product. This person will need to travel to customer locations and liaise with them to gather requirements and document them for the offshore delivery team. Job Description : 10-12 years of Health SME (Subject Matter Expert) experience, Preferably in health care or health insurance industry Health, Hospital / Wellness, Cancer, Critical Illness, MEC1-Skinny Limited Medical, MEC2-Limited Medical, MEC3-Limited Medical products expertise is a must in US region. Proven experience with underwriting processes, policy admin systems, claims process, benefit configuration, Form generation, and integrations with down and upstream systems. Proven experience in implementing Health portals following ANSI EDI standards. Experience with Health insurance systems for carriers and MGAs Exposure to Medicaid and Medicare systems Knowledge and Experience in billing, Claims, HIPAA regulations, EDI files Proficiency in requirements gathering, process modelling and documentation Ability to collaborate with stakeholders at all levels internally and clients Familiarity with industry specific tools for policy administration, claims management and underwriting Experience in integration of core system with portals and apps. Extensive experience in functional integration with associated third-party systems