Job Title: Healthcare Business Analyst, Location: Remote, Duration: 9+ Months
Must need:
Health plans for claim payers should have been configured.
QNXT/Facets/Amisys are required.
Experience with claims adjudications and fundamental claims configurations/implementations is required.
A candidate with experience in health enterprises while working at Conduent/other would be ideal.
Responsibilities
1. * Must have very good understanding of the healthcare payer space with a minimum experience of 5 years in the domain.
2. Must have a prior experience in implementing/maintenance of commercial payer solution and/or Medicaid system
3. Must have good experience with claims processing concepts, along with the member enrolment and care management concepts.
4. Must be able to work with the clients to create/gather requirements and document them according to standards.
5. Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off.
Job Type: Full-time
Salary: $66.00 – $73.00 per hour
Schedule:
Experience:
Work Location: Remote
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