Candidate have clarified that candidates must have significant experience with Health Rules benefit and contract configuration. Prior submitted candidates did not have enough experience with Health Rules configuration.
Our client is seeking a healthcare BA for an onsite contract to hire position in Smithfield, RI . We need to limit the search to 10 0 mile radius of zip code 02814 . The candidate will be required to work from the office from day one.
Client: NHPRI
Work authorization: USC or GC only
C2C rate: 4 5- 5 0/hr. C2C
C2H duration: 6 months
This position is an entry to mid- level position responsible for the analysis, design, testing and implementation of configuration changes to support business requirements. In addition, this position is responsible for identifying areas of automation and enhancement to support and improve internal workflows.
Duties and Responsibilities :
- Serve as a resource in facilitating the gathering of business requirements and required test cases for configuration changes
- Work with key project stakeholders to formulate and communicate business requirements and scope of project
- Work with project stakeholders to translate their requirements into specifications technical staff can understand and also translate questions that technical staff has into a format the stakeholders can understand
- Perform all configuration changes within applicable software test environments
- Responsible for configuration, interface and application testing
- Develop and execute test cases and documentation to support configuration changes/updates/additions
- Work with stakeholders to validate test case results
- Coordinating and documenting for all configuration activity for change control and auditing
- Responsible for coordination of production turnover of all configuration work upon business owner sign off
- Serve as subject matter expert for root cause analysis and issue resolution
- Coordinate with the Application Support ticket tracking and bringing to resolution any software, configuration, EDI, ICES tickets that require updates to the test or production environments
- Oversee process development and documentation for any new or altered functionality or business process. This will also include facilitating an annual audit of actual business processes versus what is documented
- Identify potential areas of automation and aid in re-engineering the underlying business processes
- Recommend and maintain standards for development of business cases and their documentation
Required: - ssociates degree and/or years of experience and background to equate to the degree
- Minimum of two years of business analysis and system configuration experience
- Prior experience in a Health Care organization or setting
- Health Rules benefits and contract configuration experience
- Experience with SQL queries
- Proficient in MS Project, Excel, PowerPoint and Word
- Strong communication skills, both verbal and written
Preferred: - Experience with Acuity software
- Experience with Optum CES (Claims Editing Software)
- Experience with Crystal reports/letters
Please include rate, location, work authorization status and contact information with each submission. Submissions without this information will not be considered.